person
Michelle Amanda Harline
Pediatric Nurse Practitioner in Salt Lake City, Utah
NPI 1700573904

Michelle Amanda Harline is a Pediatric Nurse Practitioner based in Salt Lake City, UT and is specialized in Pediatrics. Michelle Amanda Harline practices in Salt Lake City, UT. The NPI Number for Michelle Amanda Harline is 1700573904 and holds a License No. 8372920-4405 (Utah).

The current practice location address for Michelle Amanda Harline is 100 N Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-662-3577 and via fax at 801-662-3588.

Location: 100 N Mario Capecchi Dr, Salt Lake City, UT, 84130-0180
person
Provider Profile Details
NPI Number
1700573904
Provider Name
Michelle Amanda Harline
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 N Mario Capecchi Dr, Salt Lake City, UT, 84130-0180
Phone Number
801-662-3577
Fax Number
801-662-3588
Provider Enumeration Date
04/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3577
Fax Number
801-662-3588
person
Provider Business Mailing Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-3577
Fax Number
801-662-3588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
8372920-4405 (Utah)
Definition
Definition to come...
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