MR. GARRY WELLISCH


Address: 441 S Redwood Rd, Salt Lake City, UT 84104-3539
Phone: 8019732588

MR. GARRY WELLISCH (NPI# 1770997801) 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) 1770997801
Entity Type Individual
Full Name MR. GARRY WELLISCH
Credential APRN
Practice Address 441 S Redwood Rd
Salt Lake City
UT 84104-3539
Practice Telephone 8019732588
Mailing Telephone 8019732588
Enumeration Date 2014-06-17
Last Update Date 2014-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6848307-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 441 S REDWOOD RD
City SALT LAKE CITY
State UT
Zip Code 84104-3539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326031493 James M Wortley Physical Therapist 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2005-08-24
1265093785 Casey Cranor Nurse Practitioner 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2019-06-25
1710544937 Bradley S Michalko Physical Therapist 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2019-05-22
1326522418 Amelia Llanos Physical Therapist 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2018-09-24
1073995072 Stephen D Bullock Nurse Practitioner 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2015-06-25
1750624219 William F Morby Physical Therapist 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2013-04-03
1083954275 Spencer Kevin Hill Physician Assistant 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2013-02-25
1710222310 David Joshua Brockbank Nurse Practitioner 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2012-12-07
1912180993 Rocky Mountain Therapy Services LLC Physical Therapist 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2007-12-12
1861692105 Michael Anderson Layton Chiropractor 441 S Redwood Rd, Salt Lake City, UT 84104-3539 2007-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144673013 Neighborhood House Clinic/Center 423 South 1100 West, Salt Lake City, UT 84104 2016-07-15
1790157261 Global Medical Therapeutics Inc Pharmacy 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 2015-10-23
1154561090 Stephen Kent Jones General Practice 174 West Parrish Lane, Centerville, UT 84104 2009-03-05
1013037704 Occuaptional Health Centers of The Southwest, P.a. Clinic/Center 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 2007-03-29
1639294721 Ihc Health Services Clinic/Center 855 W 1300 S, Salt Lake City, UT 84104 2007-03-20
1700957552 Neighborhood House Custodial Care Facility 423 So 1100 West, Salt Lake City, UT 84104 2006-11-13
1912014234 Over The Road Dental Dentist 1953 W. California Ave, Salt Lake City, UT 84104 2006-08-23
1962492504 Lifeskills Vocational Center Day Training, Developmentally Disabled Services 1656 W 1500 S, Salt Lake City, UT 84104 2005-10-25
1366439507 Kci Usa, Inc. Durable Medical Equipment & Medical Supplies 1765 S 900 W Ste 88, Salt Lake City, UT 84104 2005-10-03
1588813521 Concentra Health Services, Inc. Clinic/Center 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 2008-09-15
Find all providers in zip 84104

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982204590 Gabrielle Sleater Lewis Nurse Practitioner 2905 S Mcclelland St, Salt Lake City, UT 84106-2125 2020-11-01
1962019596 Freya Kristen Landesman Nurse Practitioner 60 E South Temple Ste 300, Salt Lake City, UT 84111-1041 2020-09-28
1568075604 Michelle L Davis Nurse Practitioner 24 S 1100 E Ste 305, Salt Lake City, UT 84102-4500 2020-08-28
1518583988 Melanie Elise Harris Nurse Practitioner 1250 E 3900 S Ste 301, Salt Lake City, UT 84124-1350 2020-06-22
1295359651 Julie Nielsen Nurse Practitioner 1170 E Westminster Ave Apt C, Salt Lake City, UT 84105-3514 2020-06-02
1770112138 Justin Henderson Nurse Practitioner 3851 S Birch Dr, Salt Lake City, UT 84109-3742 2020-04-07
1346885845 Anita Hui Lucente Nurse Practitioner 1111 E Brickyard Rd, Salt Lake City, UT 84106-2560 2019-11-08
1841844057 Mayra Ibeth Vences Nurse Practitioner 1146 N Antilles Dr, Salt Lake City, UT 84116-4656 2019-07-25
1710549928 Jenny Farley Mason Nurse Practitioner 4179 S Monarch Way, Salt Lake City, UT 84124-3168 2019-07-08
1144889940 Amy Jackson Gilbert Nurse Practitioner 1950 Circle of Hope Dr Rm 4146, Salt Lake City, UT 84112-5500 2019-06-06
Find all providers in SALT LAKE CITY

Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84104

Improve Information

Please comment or provide details below to improve the information on MR. GARRY WELLISCH.

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.

Trending Searches