Individual provider · Type 1 NPI
Jared W. Henricksen, MD
Pediatric Critical Care Medicine Physician · Slc, UT
Practice location
100 Mario Capecchi Dr
Slc, UT 84113-1103
Mailing address
295 Chipeta Way, PO Box 581289
Slc, UT 84108-1287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Critical Care Medicine Physician Primary | 2080P0203X | 347933-1205 (UT) |
Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…
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About NPI 1396762480
Jared W. Henricksen, MD's National Provider Identifier is 1396762480, issued on Jul 16, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Slc, UT. The record was last updated on Apr 25, 2022.