Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCIA KAY LIDTKE, FNP-C
Active Sole ProprietorMARCIA KAY LIDTKE, FNP-C is a Family Nurse Practitioner healthcare provider located in PROVO, Utah. NPI 1972716496 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PROVO, UT
Registration Details
- NPI Number
- 1972716496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.26733297918 yrs)
- Last Updated
- Jan 19, 2017
- Licenses
-
9836853-4405 (UT)13626 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8013739656
- Fax
- 8013732978
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| ROBERT GORDON SHEEN | NP-C | 1770559387 |
| ELIZABETH ANN LARSEN | APRN | 1093770562 |
| MRS. JUDITH A BERRY | FNP | 1104884253 |
| MR. ROBERT S. SPENCER | APRN | 1265485593 |
| KAY C WHITTAKER | APRN | 1497793707 |
| MR. SHANNON DAY LOREE | NP | 1851327886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.