IndividualActive
Megan Maddox
NPI 1285255547 · Diabetes Educator Registered Nurse · Provo, UT
Provider details
- NPI number
- 1285255547
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8609162-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
395 W Cougar Blvd Ste 401
Provo, UT 84604-3338
Phone: (801) 357-7546
Approximate (ZIP-level) locationGet directions
Mailing address
395 W Cougar Blvd Ste 401
Provo, UT 84604-3338
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2020-04-28
- Certified
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.