STACIE MICHELLE IRELAND

SALT LAKE CITY, UT
NPI1538783949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  10640279-4405)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  106402793102)
Enumeration Date2020-06-01
Last Update Date2021-12-20
Business Address
MRS. STACIE MICHELLE IRELAND BSN
3402 E STONEHILL LN
SALT LAKE CITY, UT 84121-5864
Phone number: 801-884-9220
Mailing Address
MRS. STACIE MICHELLE IRELAND BSN
3402 E STONEHILL LN
SALT LAKE CITY, UT 84121-5864
Phone number: 801-884-9220