Individual provider · Type 1 NPI

Caitlin Brook Mallory, FNP

Family Nurse Practitioner · Provo, UT

NPI number 1124509070 Active

Practice location

1055 N 500 W Bldg A
Provo, UT 84604-3305

Fax (801) 812-5034

Mailing address

1055 N 500 W, Attn. Credentialing
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7725435-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1124509070

Caitlin Brook Mallory, FNP's National Provider Identifier is 1124509070, issued on Aug 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Nov 27, 2023.