Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1938554405 | UT |
NPI | 1003923988 |
---|---|
Provider Name | Ms. Melisa S Steele |
First Address | West Jordan, UT 84084-4312 |
Second Address | Murray, UT 84107-5846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 20/01/2022 |