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NPI Profile for PROVIDENTIAL BBA OPERATING LP in BOUNTIFUL, UT.
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine |
| NPI Number | 1376325001 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/17/2023 | |
| Last updated | 10/17/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PROVIDENTIAL BBA OPERATING LP
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| ALI A FAZILI, MD 324 E 10TH AVE STE 170 SALT LAKE CITY, UT |
| ANDRIA H HOLT, RN 30 N 1900 E SALT LAKE CITY, UT |
| AUSTEN G HERRON, MD HELIX 30 N MARIO CAPECCHI DR RM 3N100 SALT LAKE CITY, UT |
| MADELINE M FOLEY, MD HELIX 30 N MARIO CAPECCHI DR RM 3N100 SALT LAKE CITY, UT |
| MERIDETH B CHILTON, MD 30 N MARIO CAPECCHI DR RM 3N100 SALT LAKE CITY, UT |
| DANIEL P VANDERHOEF, MD 30 N MARIO CAPECCHI DR RM 3N100 SALT LAKE CITY, UT |
| SHIVEN PATEL, MD, MBA, FACP 1950 CIRCLE OF HOPE SALT LAKE CITY, UT |
| MONICA A BACHTELL, NFP 565 KOMAS DRIVE SALT LAKE CITY, UT |
| SANDRA W BAGLEY, APRN PHD MSW 3683 WILDE ROSE LANE SALT LAKE CITY, UT |
| DANIELLE R PURI, ARNP 3448 WEST 3200 SOUTH WEST VALLEY CITY, UT |
PROVIDENTIAL BBA OPERATING LP