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Contact Information

INTERNAL MED-MICU/DEPARTMENT OF UNIVERSITY OF UTAH
50 N MEDICAL DR
SALT LAKE CITY, UT84132-0001
 Phone: 801-581-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MED MICUDEPARTMENT OF UNIVERSITY OF UTAH · (Female)

NPI # 1457670788
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2010
Last updated 05/26/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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