Marsha K Medford in Provo - Nurse Practitioner
Marsha K Medford - NPI 1215902309
Marsha K Medford is a Nurse Practitioner in Provo, Utah. Marsha K Medford practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Marsha K Medford is 1215902309. The last update date is 2007-07-08.
Marsha K Medford's current location address is 259 S 500 E, Provo, Utah. You can contact this provider via phone number 8013771213 and fax number 8013562703. The mailing address for Marsha K Medford is 259 S 500 E, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marsha K Medford |
|---|---|
| Address | 259 S 500 E, Provo, Utah |
| Phone Number | 8013771213 |
| Fax Number | 8013562703 |
| Sole Proprietor | X |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1215902309 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 259 S 500 E |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846064731 |
| Phone Number | 8013771213 |
| Fax Number | 8013562703 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5376965-4405 |
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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 assigned to Marsha K Medford by the Centers for Medicare & Medicaid Services?
The Marsha K Medford has been issued the NPI (National Provider Identifier) 1215902309 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marsha K Medford?
The Marsha K Medford is physically situated at 259 S 500 E, in the city of Provo, state of UT, with the postal code 846064731.
What is the Marsha K Medford's specialty and taxonomy code?
The Marsha K Medford's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215902309 to Marsha K Medford?
The Centers for Medicare & Medicaid Services originally issued the 1215902309 to Marsha K Medford on 2006-02-22.
When was the information pertaining to Marsha K Medford most recently updated or revised?
The details related to Marsha K Medford, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.