Individual provider · Type 1 NPI

Tristan Roman Lubina

Nurse Practitioner · Salt Lake City, UT

NPI number 1699360065 Active

Practice location

1501 University Vlg
Salt Lake City, UT 84108-3522

Mailing address

650 Round Valley Dr
Park City, UT 84060-7571

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse 163WX0200X10670291-3102 (UT)
Nurse Practitioner Primary 363L00000X12345127-4405 (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…

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About NPI 1699360065

Tristan Roman Lubina's National Provider Identifier is 1699360065, issued on Mar 7, 2021. 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 Jul 29, 2021.