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Contact Information

TODD L CHIDESTER, FNP
1159 E 200 N SUITE 200
AMERICAN FORK, UT84003
 Phone: 801-756-5290
 Fax: 801-756-5200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TODD L CHIDESTER · (Male)

NPI Number 1154383305
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/04/2006
Last updated 01/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 195992-4405
  • UT License # 195992-8900
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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