Marcia Kay Lidtke, FNP-C is a family nurse practitioner in Provo, UT with 22 years of experience. Marcia Kay Lidtke, FNP-C NPI is 1972716496. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 373-9656
Fax: (801) 373-2978
The NPI 1972716496 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/8/2007 and was last updated on 1/19/2017.