Healthcare Provider Details

I. General information

NPI: 1245780808
Provider Name (Legal Business Name): ERIN LEIGH BATIN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN LEIGH DIXON NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N MAIN ST STE 204
BOUNTIFUL UT
84010-6153
US

IV. Provider business mailing address

107 N MAIN ST STE 204
BOUNTIFUL UT
84010-6153
US

V. Phone/Fax

Practice location:
  • Phone: 801-383-0105
  • Fax: 801-740-8935
Mailing address:
  • Phone: 801-383-0105
  • Fax: 801-740-8935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8527164-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5009006
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number8527164-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: