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NPI Code Detail

MEDICARE: MRS. DANELL HARTER GILMAN APRN

MEDICARE: MRS. DANELL HARTER GILMAN APRN
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 PractitionerAPRN000793NV
2363L00000XNurse Practitioner13716517-4405UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113517759OTHERCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609019777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANELL HARTER GILMAN APRN
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5373 S GREEN ST STE 400
Second Line :
City : MURRAY
State : UT
Zip : 84123-4740
Country : US
Telephone Number : 801-442-2615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2009
Last Update Date : 05/20/2024

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