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Stacey Mills Lake, NP
Nurse Practitioner in Holladay, Utah
NPI 1154003473

Stacey Mills Lake is a Nurse Practitioner based in West Jordan, UT. Stacey Mills Lake practices in Holladay, UT and has the professional credentials of NP. The NPI Number for Stacey Mills Lake is 1154003473 and holds a License No. 5641317-4405 (Utah).

The current practice location address for Stacey Mills Lake is 999 E Murray Holladay Rd Ste 207, Holladay, UT and can be reached out via phone at 801-268-2584.

Location: 999 E Murray Holladay Rd Ste 207, Holladay, UT, 84084-4312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154003473
Provider Name
Stacey Mills Lake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
999 E Murray Holladay Rd Ste 207, Holladay, UT, 84084-4312
Phone Number
801-268-2584
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
999 E Murray Holladay Rd Ste 207
City
Holladay
State
Utah
Zip
84117-5093
Phone Number
801-268-2584
Fax Number
person
Provider Business Mailing Address Details
Address
999 E Murray Holladay Rd Ste 207
City
Holladay
State
Utah
Zip
84117-5093
Phone Number
801-268-2584
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5641317-4405 (Utah)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5641317-4405 (Utah)
Definition
Definition to come...
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