Healthcare Provider Details

I. General information

NPI: 1881519056
Provider Name (Legal Business Name): MARIA ATKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA SIMI

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 S 700 W
SALT LAKE CITY UT
84104-1086
US

IV. Provider business mailing address

185 W 400 N
SALT LAKE CITY UT
84103-3766
US

V. Phone/Fax

Practice location:
  • Phone: 385-465-0293
  • Fax:
Mailing address:
  • Phone: 385-465-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: