LESLIE DIANE PUTNAM

PROVO, UT
NPI1922550060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  217006-4405)
Enumeration Date2016-10-25
Last Update Date2019-07-22
Business Address
Mrs. LESLIE DIANE PUTNAM APRN, FNP-C
1055 N 500 W STE 205
PROVO, UT 84604-3305
Phone number: 801-429-8095
Mailing Address
Mrs. LESLIE DIANE PUTNAM APRN, FNP-C
1905 S VINCENT RIDGE DR
SPANISH FORK, UT 84660-8527
Phone number: 801-518-2900