SPENCER POULSON NPI 1942513916

NPI Information

NPI: 1942513916
Provider Name: SPENCER POULSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
652 S MEDICAL CENTER DR # 420
ST GEORGE, UT
ZIP 84790
Phone: (435) 251-6800
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Spencer Poulson is a family nurse practitioner in St George, UT with 4 years of experience. Spencer Poulson NPI is 1942513916. 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:

652 S MEDICAL CENTER DR # 420
ST GEORGE, UT
ZIP 84790-049
Phone: (435) 251-6800

The NPI 1942513916 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 7/20/2010 and was last updated on 10/12/2020.

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	101Y00000X	Counselor				No
2	363LF0000X	Nurse Practitioner	Family	8336759-4405	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: 4/28/2024

NPI Synchronization or Removal

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