Individual provider · Type 1 NPI

Susan Gale Trevithick, RN

Administrator Registered Nurse · Salt Lake City, UT

NPI number 1730288374 Active

Practice location

Va Salt Lake City Healthcare System Mc # 118, 500 Foothill Boulevard
Salt Lake City, UT 84148-0001

Call (801) 582-1565 Map

Fax (801) 584-1298

Mailing address

8831 Alpen Way
Salt Lake City, UT 84121-6105

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X189015-3102 (UT)

Administrator Registered Nurse: Definition to come...

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About NPI 1730288374

Susan Gale Trevithick, RN's National Provider Identifier is 1730288374, issued on Sep 21, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.