Organization · Type 2 NPI
Ultimate Sports Regenerative Medicine
Nurse Practitioner · South Jordan, UT
Practice location
1098 W. South Jordan Pkwy, Suite 101
South Jordan, UT 84095
Fax (801) 254-1696
Mailing address
1098 W South Jordan Pkwy, Suite 101
South Jordan, UT 84095-9366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 7058178-1202 (UT) |
| Nurse Practitioner Primary | 363L00000X | 347183-4405 (UT) |
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…
Other nurse practitioner providers in South Jordan
About NPI 1366989931
Ultimate Sports Regenerative Medicine's National Provider Identifier is 1366989931, issued on Jan 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Jordan, UT. The record was last updated on Jan 20, 2017.