Healthcare Provider Details

I. General information

NPI: 1003645425
Provider Name (Legal Business Name): HOLLAND CLAWSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 N 1700 W STE 110
LAYTON UT
84041-7059
US

IV. Provider business mailing address

3702 S STATE ST STE 107
SOUTH SALT LAKE UT
84115-5096
US

V. Phone/Fax

Practice location:
  • Phone: 801-779-3500
  • Fax: 801-779-3508
Mailing address:
  • Phone: 801-288-2634
  • Fax: 801-288-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10658456-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: