AMANDA RENA VANDUZOR (NPI# 1730654526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730654526 |
Entity Type | Individual |
Full Name | AMANDA RENA VANDUZOR |
Credential | FNP-C |
Practice Address |
434 W Ascension Way Ste 225 Murray UT 84123-2985 |
Practice Telephone | 8017167008 |
Practice Fax Number | 8889901557 |
Mailing Telephone | 8017167008 |
Mailing Fax Number | 8889901557 |
Enumeration Date | 2018-10-08 |
Last Update Date | 2019-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
109942204405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
10994220-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
434 W ASCENSION WAY STE 225 |
City | MURRAY |
State | UT |
Zip Code | 84123-2985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487836532 | Amazing Medical Associates, Inc | Family Medicine | 434 W Ascension Way Ste 225, Murray, UT 84123 | 2007-11-30 |
1225437221 | Sheri Schlagel | Nurse Practitioner | 434 W Ascension Way Ste 225, Murray, UT 84123-2985 | 2014-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
Find all providers in zip 84123 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076230 | Laken Nicole Darnell | Nurse Practitioner | 1601 Highway 121 Byp N Ste B, Murray, KY 42071-8759 | 2020-09-01 |
1851940282 | Shawna Niles | Nurse Practitioner | 201 E 5900 S Ste 100, Murray, UT 84107-5429 | 2019-09-09 |
1780156661 | Shane Jaimez | Nurse Practitioner | 166 E 5900 S Ste B109, Murray, UT 84107-7293 | 2018-12-17 |
1205304581 | Kristina Dantzel Crane | Nurse Practitioner | 5781 S Meadowcrest Dr, Murray, UT 84107-6501 | 2018-11-05 |
1649759069 | James C Taylor | Nurse Practitioner | 5848 S Fashion Blvd # 300e, Murray, UT 84107-6170 | 2018-08-07 |
1891291316 | Zackery Ross Wilkes | Nurse Practitioner | 5169 S Cottonwood St # 510, Murray, UT 84107-6767 | 2018-04-03 |
1396266177 | Rita Rutland | Nurse Practitioner | 308 E 4500 S Ste 280, Murray, UT 84107-3975 | 2017-06-30 |
1164951737 | Joanie Marie Limb | Nurse Practitioner | 835 E 4800 S Ste 230, Murray, UT 84107-5535 | 2017-06-07 |
1689113334 | Carolyn Winchester | Nurse Practitioner | 506 Lynnwood Ct, Murray, KY 42071-2218 | 2017-02-14 |
1053757492 | Shannon Velaine Shepherd | Nurse Practitioner | 1106 E 6600 S # 100, Murray, UT 84121-2446 | 2013-05-13 |
Find all providers in MURRAY |
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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.