NATHANAEL W RIDGE PA PHD NPI 1134424641

NPI Information

NPI: 1134424641
Provider Name: NATHANAEL W RIDGE, PA, PHD
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5770 S 250 E
#290
MURRAY, UT
ZIP 84107
Phone: (801) 747-8700
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Nathanael W Ridge, PA, PHD is a medical physician assistant in Murray, UT. Nathanael W Ridge, PA, PHD NPI is 1134424641. 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:

5770 S 250 E
#290
MURRAY, UT
ZIP 84107-100
Phone: (801) 747-8700
Fax: (801) 747-8701

The enumeration date for this NPI number is 1/13/2011 and was last updated on 1/13/2011.

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	103T00000X	Psychologist		68336662501	UTAH	No
2	363AM0700X	Physician Assistant	Medical	6833666-1206	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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