MARLEE GOMM DICRISTOFANO


Address: 917 E 1150 N, Pleasant Grove, UT 84062-9100
Phone: 8013686723

MARLEE GOMM DICRISTOFANO (NPI# 1043675994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043675994
Entity Type Individual
Full Name MARLEE GOMM DICRISTOFANO
Credential BSN, RN
Practice Address 917 E 1150 N
Pleasant Grove
UT 84062-9100
Practice Telephone 8013686723
Mailing Telephone 8013686723
Enumeration Date 2015-12-19
Last Update Date 2015-12-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1500X Registered Nurse
Specialization: Community Health
4826371-3102 UT Nursing Service Providers
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
4826371-3102 UT Nursing Service Providers
N 163WN1003X Registered Nurse
Specialization: Nutrition Support
4826371-3102 UT Nursing Service Providers
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
4826371-3102 UT Nursing Service Providers

Office Location

Street Address 917 E 1150 N
City PLEASANT GROVE
State UT
Zip Code 84062-9100

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NPI Name Taxonomy Address Enumeration
1467934406 Welcome Home Assisted Living of American Fork Assisted Living Facility 1889 W 930 N, Pleasant Grove, UT 84062 2018-09-06
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1720588080 Us Sports Medicine, LLC Clinic/Center 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 2018-02-13
1235669011 Rapid Reboot Recovery Products LLC Durable Medical Equipment & Medical Supplies 1262 W 3150 N, Pleasant Grove, UT 84062 2017-06-14
1497126486 Trumobility Inc. Durable Medical Equipment & Medical Supplies 272 S 671 W, Pleasant Grove, UT 84062 2015-10-15
1295146272 North County Medical Chiropractor 1988 West 930 North Suite Number A, Pleasant Grove, UT 84062 2014-05-13
1861814493 Trent Edwards Case Manager/Care Coordinator 365 West 1420 North, Pleasant Grove, UT 84062 2014-01-16
1013342690 Michael M. Haderlie Psychologist 233 S. Pleasant Grove Blvd, Suite 203, Pleasant Grove, UT 84062 2013-09-13
1194157123 Brianna Lastre Nurse Practitioner 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 2013-08-01
1356619266 Melinda Buchanan-emery Marriage & Family Therapist 459 East 1000 South, Pleasant Grove, UT 84062 2011-12-06
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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376908343 Michelle Larsen Registered Nurse 705 E 200 S, Pleasant Grove, UT 84062-2923 2015-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427660042 Breanna Nicole Lundquist Registered Nurse 15254 S Cavalry Ct, Bluffdale, UT 84065-4992 2020-08-17
1306201256 Denise Futrell Registered Nurse 290 E 500 S, American Fork, UT 84003-2427 2015-12-19
1770948622 Jason O Zumwalt Registered Nurse 3497 W Pawnee St, West Valley, UT 84119-5028 2015-12-19
1851609671 Diane Everett Registered Nurse 11491 Cranberry Hill Ct, Draper, UT 84020-8592 2010-09-14
1003973785 Katherine Denise Koller Registered Nurse 315 S 100 E, Provo, UT 84606-4649 2007-01-02
1780772608 Patricia Drewry Sanger Registered Nurse 1600 Pinebrook Blvd, H 9, Park City, UT 84098-8276 2006-10-10
1073609533 John W Harris Jr. Registered Nurse 497 S Colorow Way, Salt Lake City, UT 84108 2006-10-04
1124096417 Raeanna Kirk Registered Nurse 11706 S 700 E, Draper, UT 84020-9365 2006-03-10
1659914356 Tack D Macgregor Registered Nurse 4501 N University Ave, Provo, UT 84604-5504 2019-10-25
1457994162 Timothy W Bartell Registered Nurse 4501 N University Ave, Provo, UT 84604-5504 2019-10-25
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Competitor

Search similar providers

City PLEASANT GROVE
Zip Code 84062

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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