MEDICARE: IRENE ZILBERSHTEYN NP-C

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	6710542-4405	UT

General Provider Information

NPI Number	:	1548612559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE ZILBERSHTEYN NP-C

Provider Business Mailing Address
First Line	:	30 S MARIO CAPECCHI DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5888
Country	:	US
Telephone Number	:	801-585-3098
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 S MARIO CAPECCHI DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5888
Country	:	US
Telephone Number	:	801-585-3098
Fax Number	:

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

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	12/24/2025

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