Marcia K. Lidtke, FNP-C
Family NP · Provo, UT
UnclaimedFNP-CNPI 1972716496
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2007-05-08
- Practice location
- Provo, UT
- Last NPPES update
- 2017-01-19
State licenses
- CA · Nurse practitioner · NPPES self-reportedListed on NPI record
- UT · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.