ANDREA LIFE INVESTMENT ENTERPRISES (NPI# 1033653233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033653233 |
Entity Type | Organization |
Organization Name | ANDREA LIFE INVESTMENT ENTERPRISES |
Other Organization Name | ALIE MEDICAL PRACTICE |
Practice Address |
4400 S 700 E Ste 201 Millcreek UT 84107-3053 |
Practice Telephone | 8018958903 |
Practice Fax Number | 8883125374 |
Mailing Telephone | 8018958903 |
Mailing Fax Number | 8883125374 |
Enumeration Date | 2016-12-07 |
Last Update Date | 2019-09-30 |
Authorized Official Name | ANDREA LOVING (NURSE PRACTITIONER) |
Authorized Official Telephone | 8017920218 |
Authorized Official Credential | APRN, FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
77715794405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
ALIE Medical Practice | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
8686 S 1300 E Ste L-103, Sandy, UT 840941947 | 8018958903 | 8883125374 |
Street Address |
4400 S 700 E STE 201 |
City | MILLCREEK |
State | UT |
Zip Code | 84107-3053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447636188 | Andrea K Loving | Nurse Practitioner | 4400 S 700 E Ste 201, Millcreek, UT 84107-3053 | 2015-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790036689 | Sharon Renae Davis | Clinical Nurse Specialist | 5869 W Muirwood Dr, Herriman, UT 84096-8203 | 2012-10-02 |
1316307515 | Janice L. Schorr, Fnp, Health Clinic, L.L.C. | Clinical Nurse Specialist | 32 W 200 S # 132, Salt Lake City, UT 84101-1603 | 2016-03-01 |
1023272085 | John Montford Jex | Clinical Nurse Specialist | 8 Th Ave & C St, Salt Lake City, UT 84143-0001 | 2008-07-17 |
1184800047 | Janice Robinson | Clinical Nurse Specialist | 1305 N Commerce Dr, Saratoga Springs, UT 84045-5305 | 2008-01-10 |
1811176761 | Brandi Bolton-orr | Clinical Nurse Specialist | 2000 S 900 E, Slc, UT 84105-3208 | 2007-10-29 |
1700077229 | Hitomi Nashiyama | Clinical Nurse Specialist | 3215 Valley St, Salt Lake City, UT 84109-4217 | 2007-08-08 |
1083705735 | Kimberly Mortenson | Clinical Nurse Specialist | 48 N 1100 E, Suite C, American Fork, UT 84003-2910 | 2006-09-27 |
Please comment or provide details below to improve the information on ANDREA LIFE INVESTMENT ENTERPRISES.
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.