Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4111
Mailing address
2608 SUMMERWOOD DR, LAYTON, UT 84040-7416
(801) 698-5386
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
11269652-3102
UT
176B00000X
Midwife
Primary
11269652-4402
UT
Other
Enumeration date
01/21/2025
Last updated
03/18/2026
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