Individual provider · Type 1 NPI

Madeline Ann Thayer, NP

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1003483207 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-3600 Map

Mailing address

1538 S 400 E
Salt Lake City, UT 84115-1752

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X10122671-4405 (UT)
Family Nurse Practitioner Primary 363LF0000X10122671-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1003483207

Madeline Ann Thayer, NP's National Provider Identifier is 1003483207, issued on Jun 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 30, 2024.