Healthcare Provider Details

I. General information

NPI: 1841815735
Provider Name (Legal Business Name): HANNAH JANE THORNTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date: 06/03/2024
Reactivation Date: 08/19/2024

III. Provider practice location address

672 E VINE ST STE 1
MURRAY UT
84107-5539
US

IV. Provider business mailing address

672 E VINE ST STE 1
SALT LAKE CITY UT
84107-5539
US

V. Phone/Fax

Practice location:
  • Phone: 385-715-0233
  • Fax:
Mailing address:
  • Phone: 385-715-0233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13398655-3502
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: