GEORGE E WAHLEN VA (NPI# 1063658284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063658284 |
Entity Type | Organization |
Organization Name | GEORGE E WAHLEN VA |
Practice Address |
Va Slc Hcs 500 Foothill Blvd Salt Lake City UT 84148-0001 |
Practice Telephone | 8015821565 |
Practice Fax Number | 8015842576 |
Mailing Telephone | 8015821565 |
Mailing Fax Number | 8015842576 |
Enumeration Date | 2008-12-17 |
Last Update Date | 2009-03-24 |
Authorized Official Name | JANMARIE PETERSEN (STAFF NURSE) |
Authorized Official Telephone | 8015821565 |
Authorized Official Credential | RN, CDE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
2085793102 | UT | Nursing Service Providers |
Street Address |
VA SLC HCS 500 FOOTHILL BLVD |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84148-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205867637 | Stanley Howard Block | Psychiatry & Neurology | Va Slc Hcs, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-07-05 |
1063662963 | Krissa Wright | Physician Assistant | Va Slc Hcs, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2008-09-26 |
1558395186 | Darren E Palmer | Pharmacist | Va Slc Hcs, 500 Foothill Drive (119), Salt Lake City, UT 84148 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
Find all providers in zip 84148 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780936351 | Kaylynn Buxton | Registered Nurse | 615 Arapeen Dr. Suite 100, Salt Lake City, UT 84108 | 2012-10-08 |
1194967059 | Janmarie Peterson | Registered Nurse | George E Wahlen Va Slc Healthcare System, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2009-03-24 |
1891316170 | Brianna Dougall | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
1184245441 | Diamond Radivoyevich | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
1437770641 | Natasha Flamm | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
1104331099 | Jessica Hart Oldroyd | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2017-12-13 |
1548774581 | Angela Hatch | Registered Nurse | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-11-29 |
1659709814 | Dana Dopita | Registered Nurse | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2013-10-28 |
1285069930 | Elaine H Eysser | Registered Nurse | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2013-09-12 |
1508103698 | Kathleen Moore | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2013-01-09 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84148 |
Please comment or provide details below to improve the information on GEORGE E WAHLEN VA.
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.