Nagle, Marisa Johanna
Nagle, Marisa Johanna is an individual health care provider with primary practice located at 3723 W 12600 S Suite 450, Riverton UT 84065-7295. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nagle, Marisa Johanna can be contacted via phone (801) 285-4543.Contact Information
Primary practice address
3723 W 12600 S Suite 450
Riverton UT 84065-7295
Phone: (801) 285-4543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6020099-1205 | Utah |
Profile Details
| NPI number | 1417095837 |
|---|---|
| LBN Legal business name | Nagle, Marisa Johanna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Nov 9th, 2009 - about 15 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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