Stephanie Ann Bodily in Salt Lake City - Family

Stephanie Ann Bodily - NPI 1073708095

Stephanie Ann Bodily is a Family in Salt Lake City, Utah. Stephanie Ann Bodily practices all healthcare services and medical treatments related to Family. The NPI Number for Stephanie Ann Bodily is 1073708095. The last update date is 2007-09-12.

Stephanie Ann Bodily's current location address is 4786 Viewmont St, Salt Lake City, Utah. You can contact this provider via phone number 8016622445 and fax number 8016622469. The mailing address for Stephanie Ann Bodily is 4786 Viewmont St, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Ann Bodily
Address 4786 Viewmont St, Salt Lake City, Utah
Phone Number 8016622445
Fax Number 8016622469
Sole Proprietor Y
Credentials FNP

NPI Number Detail

NPI Number 1073708095
Provider Enumeration Date 2007-09-12
Last Updated Date 2007-09-12

Provider Mailing Address Detail

Address 4786 Viewmont St
City Salt Lake City
State Utah (UT)
Post Code 841175333
Phone Number 8016622445
Fax Number 8016622469

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 222883-4405
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Stephanie Ann Bodily

What is the unique identification code assigned to Stephanie Ann Bodily by the Centers for Medicare & Medicaid Services?

The Stephanie Ann Bodily has been issued the NPI (National Provider Identifier) 1073708095. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stephanie Ann Bodily is physically located?

The Stephanie Ann Bodily is physically situated at the following address: 4786 Viewmont St, Salt Lake City, UT, 841175333.

What is Stephanie Ann Bodily's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephanie Ann Bodily is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073708095 to Stephanie Ann Bodily?

The Centers for Medicare & Medicaid Services assigned the 1073708095 to Stephanie Ann Bodily on 2007-09-12.

As of what date were the details related to Stephanie Ann Bodily most recently updated or revised?

The information pertaining to Stephanie Ann Bodily, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-12.

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