person
Mrs. Nissa Breann Lucero, NP-C
Family Nurse Practitioner in Spanish Fork, Utah
NPI 1811294697

Nissa Breann Lucero is a Family Nurse Practitioner based in Spanish Fork, UT and is specialized in Family. Nissa Breann Lucero practices in Spanish Fork, UT and has the professional credentials of NP-C. The NPI Number for Nissa Breann Lucero is 1811294697 and holds a License No. 64501484405 (Utah).

The current practice location address for Nissa Breann Lucero is 415 N Main St, Spanish Fork, UT and can be reached out via phone at 801-798-9700 and via fax at 801-798-3131. You can also correspond with Nissa Breann Lucero through the mailing address at 415 N MAIN ST, SPANISH FORK, UT - 84660-1439 (mailing address contact number: 801-798-9700).

Location: 415 N Main St, Spanish Fork, UT, 84660-1439
person
Provider Profile Details
NPI Number
1811294697
Provider Name
Nissa Breann Lucero
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
415 N Main St, Spanish Fork, UT, 84660-1439
Phone Number
801-798-9700
Fax Number
801-798-3131
Provider Enumeration Date
02/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 N Main St
City
State
Zip
84660-1439
Phone Number
801-798-9700
Fax Number
801-798-3131
person
Provider Business Mailing Address Details
Address
415 N Main St
City
State
Zip
84660-1439
Phone Number
801-798-9700
Fax Number
801-798-3131
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
64501484405 (Utah)
Definition
Definition to come...
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