Healthcare Provider Details

I. General information

NPI: 1295272557
Provider Name (Legal Business Name): WENDY FLEMING RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2017
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SO. STATE STREET DAVIS COUNTY HEALTH DEPT
CLEARFIELD UT
84015
US

IV. Provider business mailing address

PO BOX 618 DAVIS COUNTY HEALTH DEPARTMENT
FARMINGTON UT
84025-0618
US

V. Phone/Fax

Practice location:
  • Phone: 801-525-5000
  • Fax: 801-525-5151
Mailing address:
  • Phone: 801-525-5000
  • Fax: 801-525-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number309685-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: