Dalton, Marlee K
Dalton, Marlee K is an individual health care provider with primary practice located at 2376 N 400 E Ste 203 , Tooele UT 84074-3413. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dalton, Marlee K can be contacted via phone (435) 882-0599.Contact Information
Primary practice address
2376 N 400 E Ste 203
Tooele UT 84074-3413
Phone: (435) 882-0599
Fax: (435) 880-2039
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 264241-4405 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 264241-4402 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2642414405 | Utah |
Profile Details
NPI number | 1730175761 |
---|---|
LBN Legal business name | Dalton, Marlee K |
Credentials | CNM, ARPN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Sep 24th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730175761 | NPPES |
Utah | MEDICAID | 1730175761 | |
Utah | Other | 264241411002001 |
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