Marcia Kay Lidtke, FNP-C
NPI #1972716496 in Provo, Utah
Provider Information
- NPI Number
- 1972716496
- Entity Type
- Individual
- Name
- Marcia Kay Lidtke, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- May 8, 2007
- Last Updated
- Jan 19, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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