NPI | 1841764560 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIANNE HAINES Officer 801-377-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 208000000X Pediatrics |
251J00000X Nursing Care | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LN0000X Nurse Practitioner, Neonatal | |
363LN0005X Nurse Practitioner, Neonatal, Critical Care | |
363LP0200X Nurse Practitioner, Pediatrics | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
364SF0001X Clinical Nurse Specialist, Family Health | |
364SP0200X Clinical Nurse Specialist, Pediatrics | |
Enumeration Date | 2019-01-15 |
Last Update Date | 2020-05-21 |