Individual provider · NPI-1

Maria Addison, MSN-BC, NNP

Nurse Practitioner · Salt Lake City, UT

NPI number1851672034
StatusActive
Last updated in NPPESDec 26, 2025

Details

NPI
1851672034
Entity type
Individual (NPI-1)
Name
Maria Addison
Credential
MSN-BC, NNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2011
Certification date
Dec 26, 2025
Last updated
Dec 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner197998-4405UTYes
363LN0000X Nurse Practitioner, Neonatal197998-4405UT

Practice location

50 N Medical Dr
Rm 2521
Salt Lake City, UT 84132-8100

Phone 801-830-4630

Mailing address

50 N Medical Dr
Rm 2521
Salt Lake City, UT 84132-8100

Phone 801-830-4630

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