NPI 1376545251 · live from the CMS NPI Registry
Phyllis A Aseltine, FNP
Nurse Practitioner in South Salt Lake, UT. National Provider Identifier 1376545251, active.
NPI record
| NPI | 1376545251 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 3702 S State St Ste 107, South Salt Lake, UT 84115 |
| Practice phone | 801-288-2634 |
| Enumerated | August 11, 2005 |
| Last updated | April 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care | 363LP2300X | 1835254405 (UT) |
| Nurse Practitioner primary | 363L00000X | 1835254405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.