LISA A BARKDULL F.N.P. NPI 1114920402

NPI Information

NPI: 1114920402
Provider Name: LISA A BARKDULL, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
450 S 900 E STE 175
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 456-2333
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Lisa A Barkdull, F.N.P. is a family nurse practitioner in Salt Lake City, UT. Lisa A Barkdull, F.N.P. NPI is 1114920402. 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:

450 S 900 E STE 175
SALT LAKE CITY, UT
ZIP 84102-981
Phone: (801) 456-2333
Fax: (801) 456-2330

The NPI 1114920402 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 5/31/2005 and was last updated on 6/1/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	0389765-22	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	8721544-4405	UTAH	Yes
3	363LF0000X	Nurse Practitioner	Family	0024166259	VIRGINIA	No

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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