George E Wahlen VA

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

2085793102 Issued in UT

Legal business name

GEORGE E WAHLEN VA

Practice address

VA SLC HCS
500 Foothill Blvd
Salt Lake City, UT 84148-0001

Phone

(801) 582-1565

Fax

(801) 584-2576

NPI assigned

Dec 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janmarie Petersen, RN, CDE

Title

Staff Nurse

Phone

(801) 582-1565

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1063658284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA SLC HCS",
            "address_2": "500 FOOTHILL BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-584-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SLC HCS",
            "address_2": "500 FOOTHILL BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-584-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E WAHLEN VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JANMARIE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "801-582-1565",
        "authorized_official_credential": "RN, CDE"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "2085793102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sandra Gentile
• Gentiva Health Services (USA), Inc.
• Crystal Gentry, SLP/MS-CCC
• Jonathan Robert Genzen, MD, PHD
• Alissa Geonzon
• Stephanie George-Ruiz
• Heather M George, PA-C
• Jean George, CNM
• Leanne George, MTRS, CTRS
• Sonora Linda Barrett George, PA

• Diabetes Educator Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Diabetes Educator Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.