Individual
MARCIA KAY LIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-9656
(801) 373-2978
Mailing address
23 E EMERALD CT, SARATOGA SPRINGS, UT 84045-8141
(408) 813-0780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13626
CA
363LF0000X
Family Nurse Practitioner
Primary
9836853-4405
UT
Other
Enumeration date
05/08/2007
Last updated
01/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us