Nelson L Astle, MD
Individual provider Active NPI Family Medicine Physician · Clinton, UT
NPI 1548366552 · NPPES record last updated Oct 9, 2012
Key facts
- NPI
- 1548366552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1717961205 (UT)
- Practice address
- 1477 N 2000 W
Suite C
Clinton, UT 84015-9099 - Phone
- (801) 774-8888
- Fax
- (801) 825-8519
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1717961205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Medical, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1717961205 | UT | Yes |
Addresses
Primary practice location
1477 N 2000 W
Suite C
Clinton, UT 84015-9099
Mailing address
1477 North 2000 West
Suite C
Clinton, UT 84015-9099
Phone (801) 774-8888
Other providers in Clinton, UT
- Adam Schwebach Inc
- Jessica Addleman
- Terylin Alexander
- William Paul Alexander
- Jaclyn Arave
- Atkinson Wellness PLLC
- Austin Atkinson
- Ryan Allen Atkinson
- Thomas N Austad
- Kirsten E Baca
All providers in Clinton, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.