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Stacy Madden, RN,CPNP
Pediatric Nurse Practitioner in Salt Lake City, Utah
NPI 1215476197

Stacy Madden is a Pediatric Nurse Practitioner based in Salt Lake City, UT and is specialized in Pediatrics. Stacy Madden practices in Salt Lake City, UT and has the professional credentials of RN,CPNP. The NPI Number for Stacy Madden is 1215476197 and holds a License No. 5166712-8900 (Utah).

The current practice location address for Stacy Madden is 100 N Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-662-3600.

Location: 100 N Mario Capecchi Dr, Salt Lake City, UT, 84108-1287
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Provider Profile Details
NPI Number
1215476197
Provider Name
Stacy Madden
Credential
RN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
100 N Mario Capecchi Dr, Salt Lake City, UT, 84108-1287
Phone Number
801-662-3600
Fax Number
Provider Enumeration Date
02/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3600
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
5166712-8900 (Utah)
Definition
Definition to come...
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