Your Home Clinic Company
Your Home Clinic Company is a Gerontology Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2011.
- Licensed in
- UT
- In the registry since
- 2011
Practice location Address checks out
1032 Learned AveSalt Lake City, UT 84116-3302
Phone: (801) 641-9261
Fax: (801) 521-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 308579-4405 (UT) |
|---|
Record details
| NPI number | 1013212802 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Newby — President · (801) 641-9261 |
| NPI enumerated | January 25, 2011 |
| Last updated in NPPES | January 25, 2011 |
| Mailing address | 1032 Learned Ave, Salt Lake City, UT 84116-3302 |
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