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NPI Code Detail

MEDICARE: KAREN ANN GILBERT DNP, APRN, FNP-C

MEDICARE:   KAREN ANN GILBERT  DNP, APRN, FNP-C
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 Practitioner7742795-4405UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17742795-4405OTHERUTDIVISION OF PROFESSIONAL LICENSING, APRN LICENSE #

General Provider Information

NPI Number : 1588185300
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN GILBERT DNP, APRN, FNP-C
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2017
Last Update Date : 08/08/2022

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