Healthcare Provider Details

I. General information

NPI: 1205693082
Provider Name (Legal Business Name): ALISON CLAUNCH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 N UPLAND DR
SARATOGA SPRINGS UT
84045-5378
US

IV. Provider business mailing address

671 N UPLAND DR
SARATOGA SPRINGS UT
84045-5378
US

V. Phone/Fax

Practice location:
  • Phone: 801-400-2859
  • Fax:
Mailing address:
  • Phone: 801-400-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9284339-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number9284339-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: