STACEY BUSHELL

LAYTON, UT
NPI1740305150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT  195616-4405)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- STACEY BUSHELL APRN
1580 W ANTELOPE DR SUITE 100
LAYTON, UT 84041-1160
Phone number: 801-773-8644
Mailing Address
-- STACEY BUSHELL APRN
1580 W ANTELOPE DR SUITE 100
LAYTON, UT 84041-1160
Phone number: 801-773-8644
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