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MELODY WILBUR APRN

Neonatal Intensive Care >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1144999269

Individual Registrant:
 MELODY  WILBUR APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
1362 W BLUE QUILL DR  BLUFFDALE, UT 84065-2139 US
Tel: 801-615-3675  Fax: --

Contact information for business:
1362 W BLUE QUILL DR  BLUFFDALE, UT 84065-2139 US
Tel: 801-615-3675  Fax: --

Registration Information:
NPI: 1144999269
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WN0002XNursing Service Providers
Registered Nurse
Neonatal Intensive Care
UT9523308-3102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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