Healthcare Provider Details

I. General information

NPI: 1316307515
Provider Name (Legal Business Name): JANICE L. SCHORR, FNP, HEALTH CLINIC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 03/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 W 200 S # 132
SALT LAKE CITY UT
84101-1603
US

IV. Provider business mailing address

550 N 200 W
SALT LAKE CITY UT
84103-1303
US

V. Phone/Fax

Practice location:
  • Phone: 801-810-4876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number219099-4405
License Number StateUT

VIII. Authorized Official

Name: JANICE LEE SCHORR
Title or Position: MANAGING MEMBER
Credential: N.P.
Phone: 801-349-8800