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Lisa Miconi-correa, FNP
Family Nurse Practitioner in Ogden, Utah
NPI 1376830414

Lisa Miconi-correa is a Family Nurse Practitioner based in Denver, UT and is specialized in Family. Lisa Miconi-correa practices in Ogden, UT and has the professional credentials of FNP. The NPI Number for Lisa Miconi-correa is 1376830414 and holds a License No. 200854-4408 (Utah).

The current practice location address for Lisa Miconi-correa is 5740 Crestwood Dr, Ogden, UT and can be reached out via phone at 801-479-7771 and via fax at 801-479-7795.

Location: 5740 Crestwood Dr, Ogden, UT, 80217-5546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376830414
Provider Name
Lisa Miconi-correa
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5740 Crestwood Dr, Ogden, UT, 80217-5546
Phone Number
801-479-7771
Fax Number
801-479-7795
Provider Enumeration Date
07/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5740 Crestwood Dr
City
Ogden
State
Utah
Zip
84405-4869
Phone Number
801-479-7771
Fax Number
801-479-7795
person
Provider Business Mailing Address Details
Address
5740 Crestwood Dr
City
Ogden
State
Utah
Zip
84405-4869
Phone Number
801-479-7771
Fax Number
801-479-7795
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200854-4408 (Utah)
Definition
Definition to come...
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