DEVEN WILLARDSON


Address: 1350 N 500 E, Logan, UT 84341-2400
Phone: 4357162800

DEVEN WILLARDSON (NPI# 1376033456) 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) 1376033456
Entity Type Individual
Full Name DEVEN WILLARDSON
Credential BSN, RN
Practice Address 1350 N 500 E
Logan
UT 84341-2400
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 4357162800
Enumeration Date 2018-05-15
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 8510230-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1350 N 500 E
City LOGAN
State UT
Zip Code 84341-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295707677 Corey Wyn Walker Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2006-02-01
1790315281 Stacy Hepner Advanced Practice Midwife 1350 N 500 E, Logan, UT 84341-2400 2020-01-23
1083265029 Amanda E Stott Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2019-09-20
1093375727 Kristiana Hales Pharmacist 1350 N 500 E, Logan, UT 84341-2400 2019-06-14
1154826618 Ihc Health Services Inc Clinic/Center 1350 N 500 E, Logan, UT 84341-2400 2018-03-27
1801303003 Becky Jean Rasmuson Nurse Practitioner 1350 N 500 E, Logan, UT 84341 2018-01-09
1558722900 Ihc Health Services Inc Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2016-03-14
1326420639 Brian Ralph Balls Physical Therapy Assistant 1350 N 500 E, Suite 120, Logan, UT 84341-2400 2015-06-23
1073994810 Benjamin Seale Physician Assistant 1350 N 500 E, Logan, UT 84341-2400 2015-06-17
1942681051 Joshua Allen Lovell Psychiatry & Neurology 1350 N 500 E, Logan, UT 84341-2400 2015-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538701529 Aubrey Salmond Registered Nurse 500 East 1500 N, Logan, UT 84341 2019-10-11
1043702046 Eye Pros of Logan LLC Optometrist 1475 N Main St Ste 103, Logan, UT 84341 2018-06-05
1275050452 Rylie Jeanne Cook Student in an Organized Health Care Education/Training Program 11 Aggie Village Apt. J, Logan, UT 84341 2017-08-28
1093262156 Jessica Lynn Mcgarry Social Worker 1040 N 130 W, Apt 100, Logan, UT 84341 2016-09-07
1740663566 Paul R Gregory Occupational Therapy Assistant 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 2015-06-30
1851708846 Bradley Budge Optometrist 535 E 1400 N Ste 130, Logan, UT 84341 2014-07-22
1386058709 Daniel Raymond Carlson Physician Assistant 500 E. 1400 N., Logan, UT 84341 2014-06-13
1902220239 Work Injury Solutions Inc. Clinic/Center 630 E 1400 N Ste 140, Logan, UT 84341 2014-02-06
1750627287 Lee Martin Williams Sr. Counselor 186 E. 1800 N., North Logan, UT 84341 2013-01-03
1669747804 Ronald J Payne Internal Medicine 1726 North 1850 East, North Logan, UT 84341 2012-03-21
Find all providers in zip 84341

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790272607 Crystal Watkins Nurse Practitioner 258 Hanging Rock Hwy, Logan, WV 25601-5113 2018-04-16
1932515418 Melissa O'harra-brown Nurse Practitioner 541 Sr 664 N, Suite C, Logan, OH 43138 2014-07-07
1447305834 Elizabeth Ann Booton Nurse Practitioner 550 E 1400 N Ste I, Logan, UT 84341-2450 2007-01-24
1306952932 La Juana Dell Willis Nurse Practitioner 600 Gallegos, Logan, NM 88426-7602 2006-08-23
1851301246 Chad B Speth Nurse Practitioner 235 E 400 N, Logan, UT 84321-4120 2006-08-08
1902870405 Leslie Ann Burgie Nurse Practitioner 1220 W Hunter St, Logan, OH 43138-1012 2006-02-14
1871089748 John Wesley Hart Nurse Practitioner 601 State Route 664 N, Logan, OH 43138-8541 2018-07-03
1467947895 Staci Diane Johnson Knight Nurse Practitioner 20 Hospital Dr, Logan, WV 25601-3452 2018-06-27
1477042943 Tammi Endicott Blankenship Nurse Practitioner 20 Hospital Dr, Logan, WV 25601-3452 2018-05-09
1912436478 Matthew R Harvey Nurse Practitioner 630 E 1400 N Ste 135, Logan, UT 84341-2549 2017-06-08
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Competitor

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City LOGAN
Zip Code 84341

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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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