Lidtke, Marcia Kay
Lidtke, Marcia Kay is an sole proprietor health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lidtke, Marcia Kay can be contacted via phone (801) 373-9656.Contact Information
Primary practice address
750 N Freedom Blvd
Provo UT 84601-1677
Phone: (801) 373-9656
Fax: (801) 373-2978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9836853-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13626 | California |
Profile Details
| NPI number | 1972716496 |
|---|---|
| LBN Legal business name | Lidtke, Marcia Kay |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jan 19th, 2017 - about 8 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.
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