NPI 1013652940

Mallory Speakman

Practitioner Registered Nurse Salt Lake City, UT

Practice location

Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Mailing address: 5754 Canal St, Tooele, UT 84074-7415

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 12841899-3102 (UT)

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Registry record

NPI: 1013652940
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2022
Record last updated: 14 Nov 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.