Gaylene Godfrey
Individual provider Active NPI Registered Nurse · West Point, UT
NPI 1962279885 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1962279885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 196409-3102 (UT)
- Practice address
- 606 N 4100 W
West Point, UT 84015-7246 - Phone
- (385) 319-5602
- NPI assigned
- Dec 11, 2023
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196409-3102 | UT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 196409-3102 | UT | Yes |
Addresses
Primary practice location
606 N 4100 W
West Point, UT 84015-7246
Mailing address
606 N 4100 W
West Point, UT 84015-7246
Phone (385) 319-5602
Other practice location 1
934 S Main St
Layton, UT 84041-7135
Phone (801) 336-1845
Other providers in West Point, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. 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.