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GRANTSVILLE HEALTH & WELLNESS CLINIC PC NPI 1154649077


NPI Information

NPI: 1154649077
Provider Name: GRANTSVILLE HEALTH & WELLNESS CLINIC PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
225 W APPLE ST
GRANTSVILLE, UT
ZIP 84029
Phone: (435) 843-9964
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GRANTSVILLE HEALTH & WELLNESS CLINIC PC is a family nurse practitioner in Grantsville, UT. GRANTSVILLE HEALTH & WELLNESS CLINIC PC NPI is 1154649077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 W APPLE ST
GRANTSVILLE, UT
ZIP 84029-635
Phone: (435) 843-9964
Fax: (435) 843-9964

The provider's authorized official is Katherine E. Devries .
The authorized official title is Owner/provider and has the following contact phone number (435) 843-9964.

The enumeration date for this NPI number is 5/17/2010 and was last updated on 5/17/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily288698-4405UTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.