ELISA VELDA WARREN NPI 1699357863

NPI Information

NPI: 1699357863
Provider Name: ELISA VELDA WARREN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
613 E FORT UNION BLVD STE 104
MIDVALE, UT
ZIP 84047
Phone: (801) 984-1717
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Elisa Velda Warren is a psychiatric/mental health nurse practitioner in Midvale, UT. Elisa Velda Warren NPI is 1699357863. 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:

613 E FORT UNION BLVD STE 104
MIDVALE, UT
ZIP 84047-531
Phone: (801) 984-1717

The enumeration date for this NPI number is 4/26/2021 and was last updated on 7/14/2021.

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	163W00000X	Registered Nurse		9420325-3102	UTAH	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	9420325-3102	UTAH	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9420325-4405	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

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.

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