Most Relevant Information
Provider Data
| NPI Number: | 1003586876 |
| Provider Name: | ALISA F CORRY NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 8183823-4405 |
Most Important Dates
| Enumeration Date: | 09/14/2021 |
| Last Updated: | 08/04/2022 |
Provider Practice Location
5171 S COTTONWOOD ST STE 210
MURRAY
UT
841075718
Practice Location Phone/Fax
| Phone: | 8015073380 |
| Fax: |
Provider Mailing Location
PO BOX 27128
SALT LAKE CITY
UT
841270128
Provider Mailing Phone/Fax
| Phone: | 8015073380 |
| Fax: |