Individual
MELISSA RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3780 S WEST TEMPLE STE 200, SOUTH SALT LAKE, UT 84115-4515
(801) 970-4205
(385) 202-3097
Mailing address
3780 S WEST TEMPLE STE 200, SOUTH SALT LAKE, UT 84115-4515
(801) 970-4205
(385) 202-3097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
294542-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
294542-4405
UT
Other
Enumeration date
09/26/2019
Last updated
07/16/2025
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