STEPHEN LAMARR SCOVILLE APRN NPI 1730516220

NPI Information

NPI: 1730516220
Provider Name: STEPHEN LAMARR SCOVILLE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5788 S WATERBURY WAY
UNIT B
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 662-9098
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Stephen Lamarr Scoville, APRN is a family nurse practitioner in Salt Lake City, UT. Stephen Lamarr Scoville, APRN NPI is 1730516220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5788 S WATERBURY WAY
UNIT B
SALT LAKE CITY, UT
ZIP 84121-141
Phone: (801) 662-9098

The NPI 1730516220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2013 and was last updated on 4/7/2020.

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	7427208-4405	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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