MEDICARE: HEALTH ELEMENTS LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1285227439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH ELEMENTS LLC

Provider Business Mailing Address
First Line	:	280 S MAIN ST
Second Line	:
City	:	BOUNTIFUL
State	:	UT
Zip	:	84010-6236
Country	:	US
Telephone Number	:	801-505-0821
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 E 4500 S STE 215
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-4254
Country	:	US
Telephone Number	:	385-419-2394
Fax Number	:	801-823-6054

Authorized Official
Title or Position	:	CO-FOUNDER/NURSE PRACTITIONER
Name	:	DR. KAREN ANN GILBERT
Credential	:	DNP
Telephone Number	:	801-916-8488

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	08/08/2022

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