DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FLORENCE FAIRBANKS APRN

MEDICARE: FLORENCE FAIRBANKS APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2103544405UT

General Provider Information

NPI Number : 1154348993
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE FAIRBANKS APRN
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-265-3144
Fax Number :
Provider Business Practice Location Address
First Line : 5770 S 1500 W
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84123-5216
Country : US
Telephone Number : 801-265-3144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1699613448 — CAITLIN HOLYOAK OTR/L
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 385-478-2400
Practice Fax:
1457664740 — MR. DOUGLAS SCOTT MARCHANT PHD
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 801-313-7770
Practice Fax:
1447238456 — MR. DANIEL AARON ONTIVEROS L.C.S.W.
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 801-313-7770
Practice Fax:
1104843804 — JUDI LAZAR LCSW
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 801-265-3109
Practice Fax:
1558388256 — GUDRUN U MIRIN LCSW
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 801-265-3109
Practice Fax:
1093735565 — CLAIRE R STOECKER LCSW
Practice Location Address:
5770 S 1500 W
TAYLORSVILLE, UT
84123-5216
Practice Phone: 801-265-3000
Practice Fax:

Directions to “ FLORENCE FAIRBANKS APRN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.