Charles Kip Deweese in Salt Lake City - Nurse Practitioner
Charles Kip Deweese - NPI 1063506889
Charles Kip Deweese is a Nurse Practitioner in Salt Lake City, Utah. Charles Kip Deweese practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Charles Kip Deweese is 1063506889. The last update date is 2021-10-20.
Charles Kip Deweese's current location address is 82 S 1100 E, Salt Lake City, Utah. You can contact this provider via phone number 8013504602. The mailing address for Charles Kip Deweese is 82 S 1100 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Kip Deweese |
|---|---|
| Address | 82 S 1100 E, Salt Lake City, Utah |
| Phone Number | 8013504602 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1063506889 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 82 S 1100 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841021686 |
| Phone Number | 8013504602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 206077-4405 |
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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 certifi |
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What is the unique 10-digit identifier code issued to Charles Kip Deweese by the Centers for Medicare & Medicaid Services?
The Charles Kip Deweese has been assigned the NPI (National Provider Identifier) 1063506889 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Charles Kip Deweese?
The Charles Kip Deweese is situated at 82 S 1100 E, in the city of Salt Lake City, state of UT, with the zip code 841021686.
What is Charles Kip Deweese's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Kip Deweese is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Charles Kip Deweese receive its 1063506889 assignment from the Centers for Medicare & Medicaid Services?
The Charles Kip Deweese was assigned its 1063506889 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Charles Kip Deweese most recently updated or revised?
The information pertaining to Charles Kip Deweese, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-20.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC