MRS. Nissa Breann Lucero, NP-C
NPI #1811294697 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1811294697
- Entity Type
- Individual
- Name
- MRS. Nissa Breann Lucero, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Feb 14, 2011
- Last Updated
- Feb 14, 2011
Practice Location
- Address
- 415 N MAIN ST
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1439
- Phone
- (801) 798-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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