Healthcare Provider Details

I. General information

NPI: 1932083557
Provider Name (Legal Business Name): ERIN DAVIES CLAWSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5677 W 3900 S
HOOPER UT
84315-9673
US

IV. Provider business mailing address

5677 W 3900 S
HOOPER UT
84315-9673
US

V. Phone/Fax

Practice location:
  • Phone: 801-425-0791
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number5319869-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: