Natalie Grevelink in Park City - Physician Assistant
Natalie Grevelink - NPI 1407060908
Natalie Grevelink is a Physician Assistant in Park City, Utah. Natalie Grevelink practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Natalie Grevelink is 1407060908. The last update date is 2023-08-07.
Natalie Grevelink's current location address is 1526 Ute Blvd Ste 104, Park City, Utah. You can contact this provider via phone number 4356021918 and fax number 4357318109. The mailing address for Natalie Grevelink is 1526 Ute Blvd Ste 104, Park City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natalie Grevelink |
|---|---|
| Address | 1526 Ute Blvd Ste 104, Park City, Utah |
| Phone Number | 4356021918 |
| Fax Number | 4357318109 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1407060908 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2023-08-07 |
Provider Mailing Address Detail
| Address | 1526 Ute Blvd Ste 104 |
|---|---|
| City | Park City |
| State | Utah (UT) |
| Post Code | 840987575 |
| Phone Number | 4356021918 |
| Fax Number | 4357318109 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12779730-120 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12779750-1206 | UT | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Natalie Grevelink by the Centers for Medicare & Medicaid Services?
The Natalie Grevelink has been assigned the NPI (National Provider Identifier) 1407060908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Natalie Grevelink?
The Natalie Grevelink is situated at 1526 Ute Blvd Ste 104, in the city of Park City, state of UT, with the zip code 840987575.
What is the area of specialization for Natalie Grevelink, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Natalie Grevelink is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Natalie Grevelink's 1407060908 issued?
The Natalie Grevelink's 1407060908 was issued on 2007-05-10.
As of what date were the details pertaining to Natalie Grevelink last refreshed?
The information related to the Natalie Grevelink, including its address, specialty, and other relevant details, was last updated on 2023-08-07.
NPI Number: 1982607784
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