Unknown Individual – Nurse Practitioner, NPI 1295850626
Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4000 S 700 E STE 10
SALT LAKE CITY, UT 841072580
Phone: (801) 268-4141
Fax: (801) 261-8609
Type: Mailing
4000 S 700 E Ste 10
Salt Lake City, UT 841072580
Phone: (801) 268-4141
Fax: (801) 261-8609
Type: Location
7181 S CAMPUS VIEW DR
WEST JORDAN, UT 840844312
Phone: (801) 965-3600
Type: Mailing
999 E MURRAY HOLLADAY RD STE 207
HOLLADAY, UT 841175093
Phone: (801) 965-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | UT | 92567 | Eardrum testing using ear probe | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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