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Mr. Mike Rady, NP-C
Family Nurse Practitioner in Erda, Utah
NPI 1346882859

Mike Rady is a Family Nurse Practitioner based in Erda, UT and is specialized in Family. Mike Rady practices in Erda, UT and has the professional credentials of NP-C. The NPI Number for Mike Rady is 1346882859 and holds a License No. 4832386-8900 (Utah).

The current practice location address for Mike Rady is 4638 Autumn Cv, Erda, UT and can be reached out via phone at 435-830-6424.

Location: 4638 Autumn Cv, Erda, UT, 84074-5536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346882859
Provider Name
Mike Rady
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
4638 Autumn Cv, Erda, UT, 84074-5536
Phone Number
435-830-6424
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4832386-4405 01 UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
4832386-8900 01 UT DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING
institution
Provider Business Practice Location Address Details
Address
4638 Autumn Cv
City
Erda
State
Utah
Zip
84074-5536
Phone Number
435-830-6424
Fax Number
person
Provider Business Mailing Address Details
Address
4638 Autumn Cv
City
Erda
State
Utah
Zip
84074-5536
Phone Number
435-830-6424
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4832386-8900 (Utah)
Definition
Definition to come...
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