MEDICARE: GAVIN WOODS NP

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	363L00000X	Nurse Practitioner	10036183-4405	UT

General Provider Information

NPI Number	:	1497361224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAVIN WOODS NP

Provider Business Mailing Address
First Line	:	8899 S 700 E STE 250
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-1813
Country	:	US
Telephone Number	:	801-987-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	8899 S 700 E STE 250
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-1813
Country	:	US
Telephone Number	:	801-987-8800
Fax Number	:

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

Provider Enumeration Date	:	09/17/2020
Last Update Date	:	01/21/2026

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Directions to “ GAVIN WOODS NP” Practice Location

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