Annalee Bingham, FNP

Individual provider Active NPI Family Nurse Practitioner · Alpine, UT

NPI 1346793007 · NPPES record last updated Jul 29, 2016

Key facts

NPI
1346793007
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
5653069-8900 (UT)
Practice address
552 Ridge LN
Alpine, UT 84004-2630
Phone
(801) 913-4501
NPI assigned
Jul 29, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5653069-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Pediatrics L.L.C. Past Accepting new patients
Utah Valley Pediatrics L.L.C. Past
since Sep 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5653069-4405 UT
Family Nurse Practitioner 363LF0000X 5653069-8900 UT Yes

Addresses

Primary practice location

552 Ridge LN
Alpine, UT 84004-2630

Mailing address

552 Ridge LN
Alpine, UT 84004-2630
Phone (801) 913-4501

Other providers in Alpine, UT

All providers in Alpine, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.