Individual provider · Type 1 NPI
Maryjane Hyde Boldt, NP
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1285168575
Active
Practice location
8th Ave C Street, Lds Hospital (W7)
Salt Lake City, UT 84103
Fax (801) 408-5620
Mailing address
2834 E 4510 S
Salt Lake City, UT 84117-4661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6686503-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285168575
Maryjane Hyde Boldt, NP's National Provider Identifier is 1285168575, issued on Apr 13, 2017. 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 Apr 13, 2017.