Healthcare Provider Details

I. General information

NPI: 1104750942
Provider Name (Legal Business Name): ERIN BESS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN BRAND

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CIRCLE OF HOPE DR
SALT LAKE CITY UT
84112-5550
US

IV. Provider business mailing address

PO BOX 800725
SANTA CLARITA CA
91380-0725
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number14183701-1701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number65774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: