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MELODY WILBUR APRN
Neonatal Intensive Care >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1144999269
Individual Registrant: MELODY WILBUR APRN
Gender: F
Sole Proprietor
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: --
Tel: 801-615-3675 Fax: --
Contact information for business:
1362 W BLUE QUILL DR BLUFFDALE, UT 84065-2139 US
Tel: 801-615-3675 Fax: --
Tel: 801-615-3675 Fax: --
Registration Information:
NPI: 1144999269
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WN0002X | Nursing Service Providers Registered Nurse Neonatal Intensive Care | UT | 9523308-3102 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
