Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
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Active Sole ProprietorNurse Practitioner · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1407430366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2021 (4.9586787445109 yrs)
- Last Updated
- May 7, 2021
- License
-
10200904-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8TH AVE AND C STSALT LAKE CITY, UT, 841430001Browse UT providers · Browse ZIP 84143
- Phone
- 8014083340
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| BEVERLY A KRENSKY | FNP, BC | 1669471421 |
| MRS. TERRY LEE SCHOENWALD | WHCNP | 1871587121 |
| LAURIE ELLIS | N.P. | 1770578254 |
| CYNTHIA PHYLLIS WASEK | — | 1952398737 |
| DR. PENNY KAYE JENSEN | FNP-C | 1023081452 |
| ANDREA M SCHINDLER | A.P.R.N. | 1114976537 |
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.