Nance Lee Allen, MPH, MS, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · SLC, UT
NPI 1639224934 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639224934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4910921-4405 (UT)
- Practice address
- 3191 Valley St
Ste #210
SLC, UT 84109-4274 - Phone
- (801) 487-2889
- Fax
- (801) 487-0859
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4910921-4405 | UT | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4910921-4405 | UT | Yes |
Addresses
Primary practice location
3191 Valley St
Ste #210
SLC, UT 84109-4274
Mailing address
2700 Kentucky Ave
Holladay, UT 84117-5512
Phone (801) 487-2889
Other providers in SLC, UT
- Vicki H Alder
- Ladrina Alford
- Haylee Allen
- John Allen
- Margaret Rosati Allen
- Alliance Counseling PLLC
- Court Allred
- Claudia Alvarado
- Lisa Amaya
- Venugopal Amula
All providers in SLC, UT · Adult Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.