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General NPI Number Information
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NPI Number | 1649094145
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Entity Type | Individual
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Provider Name | LAUREN MCCREATH APRN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 5171 S COTTONWOOD ST
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City | MURRAY
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State | UT
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Zip | 84107-5704
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Country | US
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Telephone | 801-507-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2145 S 1000 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-2312
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Country | US
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Telephone | 208-891-1712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11099680-4405
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License Number State | UT
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