Healthcare Provider Details

I. General information

NPI: 1326801952
Provider Name (Legal Business Name): WOUND & OSTOMY ON WHEELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 E 400 N
LEHI UT
84043-1938
US

IV. Provider business mailing address

281 E 400 N
LEHI UT
84043-1938
US

V. Phone/Fax

Practice location:
  • Phone: 801-369-3183
  • Fax:
Mailing address:
  • Phone: 801-369-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARI CAMERON
Title or Position: WOUND & OSTOMY SPECIALIST
Credential: BSN RN CWON
Phone: 801-369-3183