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NPI Code Detail

MEDICARE: TERRI MEHLHOFF

MEDICARE: TERRI MEHLHOFF
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
1363LF0000XFamily Nurse Practitioner6974080-4405UT

General Provider Information

NPI Number : 1225410269
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI MEHLHOFF
Provider Business Mailing Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E
Second Line :
City : SLC
State : UT
Zip : 84111-3835
Country : US
Telephone Number : 801-359-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2015
Last Update Date : 07/01/2015

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Directions to “ TERRI MEHLHOFF ” Practice Location

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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.

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