YURI KUBOTERA NPI 1295323665

NPI Information

NPI: 1295323665
Provider Name: YURI KUBOTERA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ODYSSEY HOUSE INC.

PECOS Registration: Yes

Address:
344 E 100 S
SLC, UT
ZIP 84111
Phone: (801) 322-3222
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Yuri Kubotera is a family nurse practitioner in Slc, UT with 3 years of experience. Yuri Kubotera NPI is 1295323665. 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:

344 E 100 S
SLC, UT
ZIP 84111-700
Phone: (801) 322-3222

The NPI 1295323665 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 1/1/2021 and was last updated on 6/18/2021.

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	10221037-4405	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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