Individual
MITZI MARIE SIEBERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1906 W 3600 S, WEST VALLEY CITY, UT 84119-4715
(801) 973-9675
(801) 973-0379
Mailing address
7317 MARINDA WAY, SALT LAKE CITY, UT 84121-4420
(801) 942-0944
(801) 942-0944
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
208935-4405
UT
Other
Enumeration date
09/18/2005
Last updated
07/08/2007
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