Individual provider · Type 1 NPI

Marlee Gomm Dicristofano, BSN, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Pleasant Grove, UT

NPI number 1043675994 Active

Practice location

917 E 1150 N
Pleasant Grove, UT 84062-9100

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) 163WL0100X4826371-3102 (UT)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X4826371-3102 (UT)
Nutrition Support Registered Nurse 163WN1003X4826371-3102 (UT)
Community Health Registered Nurse 163WC1500X4826371-3102 (UT)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1043675994

Marlee Gomm Dicristofano, BSN, RN's National Provider Identifier is 1043675994, issued on Dec 19, 2015. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Pleasant Grove, UT. The record was last updated on Dec 20, 2015.