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Michelle Lorraine Teasdale
Family Nurse Practitioner in South Salt Lake, Utah
NPI 1871164426

Michelle Lorraine Teasdale is a Family Nurse Practitioner based in Lehi, UT and is specialized in Family. Michelle Lorraine Teasdale practices in South Salt Lake, UT. The NPI Number for Michelle Lorraine Teasdale is 1871164426 and holds a License No. 5906820-4405 (Utah).

The current practice location address for Michelle Lorraine Teasdale is 3415 S 900 W, South Salt Lake, UT and can be reached out via phone at 385-468-8400.

Location: 3415 S 900 W, South Salt Lake, UT, 84043-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871164426
Provider Name
Michelle Lorraine Teasdale
Credential
Provider Entity Type
Individual
Gender
Female
Address
3415 S 900 W, South Salt Lake, UT, 84043-2343
Phone Number
385-468-8400
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3415 S 900 W
City
South Salt Lake
State
Utah
Zip
84119-4103
Phone Number
385-468-8400
Fax Number
person
Provider Business Mailing Address Details
Address
3415 S 900 W
City
South Salt Lake
State
Utah
Zip
84119-4103
Phone Number
385-468-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5906820-4405 (Utah)
Definition
Definition to come...
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