Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elyse E Lake, NP

Individual provider Family Nurse Practitioner · NPI 1063721611

Elyse E Lake, NP is a Nurse Practitioner in West Jordan, Utah. Qualified in 2010, 16 years ago. Practices with Hunter Medical Center Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3354 W 7800 S
West Jordan, UT 84088-4506
Phone: (801) 282-2677
Fax: (801) 282-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6168554-8900 (UT)

Record details

NPI number1063721611
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESDecember 5, 2016
Mailing address3534 S 6000 W, West Valley City, UT 84128-2610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hunter Medical Center Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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