Organization · Type 2 NPI

Legacy Medical Group, LLC

Nurse Practitioner · Taylorsville, UT

NPI number 1447621685 Active

Practice location

1020 W Atherton Dr, Suite 220
Taylorsville, UT 84123-3470

Fax (801) 833-0001

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

About NPI 1447621685

Legacy Medical Group, LLC's National Provider Identifier is 1447621685, issued on Oct 14, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Taylorsville, UT. The record was last updated on Nov 9, 2015.