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NPI Code Detail

MEDICARE: HELEN EGGEN FNP

MEDICARE: HELEN EGGEN FNP
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 Practitioner9166666-4405UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19166666-4405OTHERUTAPRN ACTIVE LICENSE
29166666-8900OTHERUTAPRN CONTROLLED SUBSTANCE

General Provider Information

NPI Number : 1720527245
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN EGGEN FNP
Provider Business Mailing Address
First Line : 1121 E 3900 S
Second Line : SUITE 100
City : SALT LAKE CITY
State : UT
Zip : 84124-1214
Country : US
Telephone Number : 801-262-9494
Fax Number : 866-415-6807
Provider Business Practice Location Address
First Line : 3838 S 700 E
Second Line : STE 100
City : SALT LAKE CITY
State : UT
Zip : 84106-1466
Country : US
Telephone Number : 801-269-0231
Fax Number : 801-269-0304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 03/30/2026

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Directions to “ HELEN EGGEN FNP” Practice Location

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