Whalio Doctors

NPI 1003483207

Madeline Ann Thayer, NP

Practitioner Family Nurse Practitioner Salt Lake City, UT

Practice location

Address
100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone
(801) 662-3600
Mailing address
1538 S 400 E, Salt Lake City, UT 84115-1752

Registered specialties (2)

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 10122671-4405 (UT)
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 10122671-4405 (UT)

Registry record

NPI
1003483207
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jun 2021
Record last updated
30 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.