ATHENA WOMEN'S CLINIC NPI 1538391917

NPI Information

ATHENA WOMEN'S CLINIC is a family nurse practitioner in Orem, UT. ATHENA WOMEN'S CLINIC NPI is 1538391917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1407 N STATE ST
SUITE A
OREM, UT
ZIP 84057-545
Phone: (801) 863-8876
Fax: (801) 863-7056

The provider's authorized official is Esme Anderson .
The authorized official title is Family Nurse Practitioner- Owner and has the following contact phone number (801) 362-1682.

The CLIA number assigned to this NPI record is 46D1103854 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.

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:

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