Intermountain Healthcare
NPI #1720445307 in Santa Clara, Utah
Provider Information
- NPI Number
- 1720445307
- Entity Type
- Organization
- Organization Name
- Intermountain Healthcare
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Jan 27, 2016
- Last Updated
- Jan 27, 2016
Practice Location
- Address
- 884 BLACK ROCK DR
- City
- Santa Clara
- State
- Utah
- ZIP Code
- 84765-5440
- Phone
- (435) 313-6330
Authorized Official
- Name
- ELISA ANN EDWARDS, APRN
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (435) 313-6330
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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