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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUMMIT CLINICAL SERVICES OF UTAH LLC

Deactivated Organization

SUMMIT CLINICAL SERVICES OF UTAH LLC is a Family Nurse Practitioner organization located in WEST JORDAN, Utah. NPI 1356744791 is deactivated in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WEST JORDAN, UT

This NPI has been deactivated. The record was deactivated on June 17, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1356744791
Provider Type
Organization
NPI Issued
Sep 30, 2014 (5.7131147540984 yrs)
Last Updated
Feb 26, 2021
Deactivated
Jun 17, 2020
Licenses
364873-4405 (UT)
5244527-4405 (UT)

Practice Information

Address
1561 W 7000 S STE 200
WEST JORDAN, UT, 840843556
Browse UT providers · Browse ZIP 84084
Phone
8012630717
Fax
8012662362
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in WEST JORDAN, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.