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Contact Information

ASHLEY PARK
857 E 200 S
SALT LAKE CITY, UT84102-2317
 Phone: 801-487-3276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ASHLEY PARK · (Female)

NPI # 1255119012
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2023
Last updated 07/28/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 14189727-4901
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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