NPI 1912387598 · live from the CMS NPI Registry
Audie Christopher Espinoza, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1912387598, active.
NPI record
| NPI | 1912387598 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 801-587-7575 |
| Mailing address | 454 E 3rd Ave Apt 5, Salt Lake City, UT 84103 |
| Enumerated | June 9, 2015 |
| Last updated | September 30, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 26632820 (TX) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 101890 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.