Providential Bba Operating LP
Providential Bba Operating LP is an Endocrinology, Diabetes & Metabolism Physician in Bountiful, Utah. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 4
What do these letters mean?
- LP — Limited partnership
- A form of business registration, not a clinical qualification.
Practice location Address checks out
401 S 400 EBountiful, UT 84010-4933
Phone: (801) 397-8145
Fax: (201) 294-5877
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X |
| Hospice and Palliative Medicine (Internal Medicine) Physician | Taxonomy 207RH0002X |
| Pulmonary Disease Physician | Taxonomy 207RP1001X |
Record details
| NPI number | 1376325001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Brown — Cfo · (801) 397-8145 |
| Other names | Sdch Physician Group |
| NPI enumerated | October 17, 2023 |
| Last updated in NPPES | October 17, 2023 |
| Certification date | October 16, 2023 |
| Mailing address | 481 S 400 E, Bountiful, UT 84010-4933 |
Other providers in Bountiful
-
Holbrook Healthcare LLC
485 E 500 S, Bountiful, UT 84010-3801 · (801) 299-4800