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Contact Information

REBECCA L BURRAGE, APRN
3725 W 4100 SOUTH
WEST VALLEY CITY, UT84120
 Phone: 801-965-3600
 Fax: 801-965-3526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REBECCA L BURRAGE · (Female)

NPI # 1184655532
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1902234405
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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