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NPI Code Detail

MEDICARE: COLBY LAWRENCE RANKIN RN

MEDICARE: COLBY LAWRENCE RANKIN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner14235828-4405UT

General Provider Information

NPI Number : 1194573451
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLBY LAWRENCE RANKIN RN
Provider Business Mailing Address
First Line : 500 FOOTHILL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84148-0001
Country : US
Telephone Number : 801-582-1565
Fax Number :
Provider Business Practice Location Address
First Line : 500 FOOTHILL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84148-0001
Country : US
Telephone Number : 801-582-1565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/20/2026

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