National Provider Identifier Database

HEATHER BAUCOM, APRN, CNP – NPI #1225512064
Family


Contact Information

HEATHER BAUCOM, APRN, CNP
2000 CIRCLE OF HOPE DR # 4146
SALT LAKE CITY, UT84112-5550
Phone: 801-803-4175
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for HEATHER BAUCOM

NPI Number 1225512064
Credentials APRN, CNP
Entity Individual
Enumeration date 09/18/2018
Last updated 10/21/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • OK License #: F07180626
  • UT License #: 8248067-4405
Hospital affiliation n/a

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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