Individual provider · Type 1 NPI
Heather Baucom, APRN, CNP
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1225512064
Active
Practice location
2000 Circle Of Hope Dr # 4146
Salt Lake City, UT 84112-5550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07180626 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | 8248067-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1225512064
Heather Baucom, APRN, CNP's National Provider Identifier is 1225512064, issued on Sep 18, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 21, 2021.