Eden Family Care and Medical Aesthetics

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9758122-4405 Issued in UT

Legal business name

EDEN FAMILY CARE AND MEDICAL AESTHETICS

Practice address

2612 N Highway 162
Eden, UT 84310-9745

Phone

(801) 217-9230

Fax

(801) 217-9230

NPI assigned

Aug 7, 2017

Last updated

Aug 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Elizabeth Gardner, FNP/CNMNPI 1952484933

Title

Nurse Practitioner/Owner

Phone

(801) 217-9230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary E Gardner, ANP,FNP,CNM

  • Family Nurse Practitioner
  • Claremont, NH
  • NPI 1952484933
  NPD Authorized official

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1467977884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843100687",
            "telephone_number": "801-217-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 N HIGHWAY 162",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843109745",
            "telephone_number": "801-217-9230",
            "fax_number": "801-217-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN FAMILY CARE AND MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "801-217-9230",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP/CNM"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "9758122-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley A Burton, DDS
• Brigham Kenneth Burton, D.D.S.
• Michelle Ashby Cherry, LPC
• CLW DDS PLLC
• Kermit Kim Cowley, RPH
• Elite Mus Holdings LLC (Valley Health)
• Theresa Ellis-Anglesey, LMT
• Breanna Fowles, LMT
• Lorrie Harper, M.S., P.T.
• Iverson & Burton Dental, LLC

• Primary Care Nurse Practitioner in Eden, UT
• Providers in Eden, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.