Healthcare Provider Details

I. General information

NPI: 1811107261
Provider Name (Legal Business Name): JOYCE C FERRONE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 S 1100 E SUITE 205
SALT LAKE CITY UT
84102-1500
US

IV. Provider business mailing address

24 S 1100 E STE 205
SALT LAKE CITY UT
84102-1580
US

V. Phone/Fax

Practice location:
  • Phone: 801-746-0776
  • Fax: 801-746-0775
Mailing address:
  • Phone: 801-942-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0357695-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: