Most Relevant Information
Provider Data
| NPI Number: | 1003517913 |
| Provider Name: | LACEY ROSE WINKEL FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 7853161-4405 |
Most Important Dates
| Enumeration Date: | 03/16/2023 |
| Last Updated: | 05/05/2023 |
Provider Practice Location
972 N 600 E
SPANISH FORK
UT
846601306
Practice Location Phone/Fax
| Phone: | 8014654896 |
| Fax: | 8014653267 |
Provider Mailing Location
1055 N 500 W
ATT: CREDENTIALING
PROVO
UT
84604
Provider Mailing Phone/Fax
| Phone: | 8013548225 |
| Fax: | 8014180941 |