MEDICARE: LINDA S COX 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
1	363LF0000X	Family Nurse Practitioner	186319-4005	UT

General Provider Information

NPI Number	:	1255353587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S COX APRN

Provider Business Mailing Address
First Line	:	5292 COLLEGE DR STE 301
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84123-2960
Country	:	US
Telephone Number	:	801-264-9686
Fax Number	:	801-264-0100

Provider Business Practice Location Address
First Line	:	5292 COLLEGE DR STE 301
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84123-2960
Country	:	US
Telephone Number	:	801-264-9686
Fax Number	:	801-264-0100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/01/2015

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