LYNDSAY ANNE WIXOM NURSE NPI 1306407820

NPI Information

NPI: 1306407820
Provider Name: LYNDSAY ANNE WIXOM, NURSE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 971-8987
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Lyndsay Anne Wixom, NURSE is a family nurse practitioner in Salt Lake City, UT. Lyndsay Anne Wixom, NURSE NPI is 1306407820. 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:

2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT
ZIP 84112-550
Phone: (801) 971-8987

The NPI 1306407820 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 6/25/2019 and was last updated on 12/20/2021.

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	363LF0000X	Nurse Practitioner	Family	8732025-4405	UTAH	Yes
2	163W00000X	Registered Nurse		8732025-3102	UTAH	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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