STACY MADDEN

SALT LAKE CITY, UT
NPI1215476197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT  5166712-8900)
Enumeration Date2017-02-13
Last Update Date2017-02-13
Business Address
-- STACY MADDEN RN, CPNP
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-3600
Mailing Address
-- STACY MADDEN RN, CPNP
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number: 801-587-7400
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