Organization · Type 2 NPI

Marathon Health, LLC

Nurse Practitioner · Salt Lake City, UT

NPI number 1033773544 Active

Practice location

1865 S Main St Ste 12
Salt Lake City, UT 84115-2090

Call (801) 657-5580 Map

Mailing address

PO Box 5
Winooski, VT 05404-0005

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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NPI record

NPI: 1033773544
Entity type: Organization (Type 2)
Issued: Apr 30, 2019
Last updated: Feb 19, 2021
Status: Active
Subpart: Yes of Marathon Health, LLC

Other names

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Oc Tanner Health Center · other name
Oc Tanner Health Center · other name

Authorized official

Jerry Ford
CEO
(802) 857-0400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033773544

Marathon Health, LLC's National Provider Identifier is 1033773544, issued on Apr 30, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 19, 2021.