YOUR HOME CLINIC COMPANY NPI 1013212802

NPI Information

NPI: 1013212802
Provider Name: YOUR HOME CLINIC COMPANY
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
1032 LEARNED AVE
SALT LAKE CITY, UT
ZIP 84116
Phone: (801) 641-9261
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YOUR HOME CLINIC COMPANY is a gerontology nurse practitioner in Salt Lake City, UT. YOUR HOME CLINIC COMPANY NPI is 1013212802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1032 LEARNED AVE
SALT LAKE CITY, UT
ZIP 84116-302
Phone: (801) 641-9261
Fax: (801) 521-4496

The provider's authorized official is Cynthia Ann Newby .
The authorized official title is President and has the following contact phone number (801) 641-9261.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 1/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	308579-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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