STACIE EGAN

OGDEN, UT
NPI1376062752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  7979937-3102)
Enumeration Date2017-09-16
Last Update Date2019-12-04
Business Address
STACIE EGAN NP
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-475-3380
Mailing Address
STACIE EGAN NP
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3075
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