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NPI Code Detail

MEDICARE: ERIKA REICHMAN APRN

MEDICARE:   ERIKA  REICHMAN  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
1363LN0005XCritical Care Neonatal Nurse Practitioner4753200-4405UT
2364SN0000XNeonatal Clinical Nurse Specialist4753200-4405UT
3363LN0000XNeonatal Nurse Practitioner4753200-4405UT

General Provider Information

NPI Number : 1801218086
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA REICHMAN APRN
Provider Business Mailing Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-2747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2014
Last Update Date : 12/13/2021

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