MEDICARE: ELIZABETH JANINE HUGIE DNP-FNP

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
1	363LF0000X	Family Nurse Practitioner	9802843-4405	UT
2	163WC0200X	Critical Care Medicine Registered Nurse	9802843-3102	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518665983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JANINE HUGIE DNP-FNP

Provider Business Mailing Address
First Line	:	3535 S MARKET ST
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-3635
Country	:	US
Telephone Number	:	385-430-1430
Fax Number	:

Provider Business Practice Location Address
First Line	:	1264 W VILLAGE MAIN DR UNIT A
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-1952
Country	:	US
Telephone Number	:	801-972-0393
Fax Number	:	801-972-5707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	03/25/2025

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