Individual provider · Type 1 NPI

Lisa Miconi-Correa, FNP

Family Nurse Practitioner · Ogden, UT

NPI number 1376830414 Active

Practice location

5740 Crestwood Dr
Ogden, UT 84405-4869

Fax (801) 479-7795

Mailing address

PO Box 5546
Denver, CO 80217-5546

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200854-4408 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1376830414

Lisa Miconi-Correa, FNP's National Provider Identifier is 1376830414, issued on Jul 8, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ogden, UT. The record was last updated on Jan 18, 2017.