PATRICIA J DULLE (NPI# 1245292648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245292648 |
| Entity Type | Individual |
| Full Name | PATRICIA J DULLE |
| Credential | M.S. APRN |
| Practice Address |
660 S 200 E 308 Salt Lake City UT 84111-3835 |
| Mailing Address |
2285 Woodchuck Way Sandy UT 84093-2767 |
| Practice Telephone | 8013552846 |
| Practice Fax Number | 8013593244 |
| Mailing Telephone | 8019440922 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
1856904405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
660 S 200 E 308 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089628 | Tamarah Leigh Barrow | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3853 | 2006-04-01 |
| 1548762990 | Edwin Winkworth IIi | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-03-01 |
| 1609374404 | Jennifer Bethers | Physical Therapy Assistant | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-01-26 |
| 1154836567 | Lee Smitherman | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-12-07 |
| 1285155432 | Jordon Palmer | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-06-28 |
| 1891248936 | Sacred Circle Healthcare | Clinic/Center | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2016-07-25 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1467811562 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2016-02-17 |
| 1326420217 | Carmelo O Diaz | Physician Assistant | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2015-06-26 |
| 1245676972 | Danny W Carter | Pharmacist | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038933 | Sheila Arlene Deyette | Clinical Nurse Specialist | Russell Murdock, 50 North Medical Dr, Salt Lake City, UT 84132-0001 | 2013-04-19 |
| 1942488002 | Jodi Lynne Morstein | Clinical Nurse Specialist | 127 S 500 E Ste 600, Salt Lake City, UT 84102-1971 | 2008-01-31 |
| 1285696187 | Cheryl M Jensen | Clinical Nurse Specialist | 2040 E. Murray Holladay Rd, Suite 222, Salt Lake City, UT 84117-5185 | 2006-04-05 |
| 1578125878 | Bridget Linett Shears | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2019-07-08 |
| 1366979197 | Megan Ames | Clinical Nurse Specialist | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2017-05-11 |
| 1083732051 | Adolescent, Child and Family Therapy Clinic, Inc | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2007-03-27 |
| 1619927795 | Rose B Olds | Clinical Nurse Specialist | 370 E South Temple, Ste 550, Salt Lake City, UT 84111-1206 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790868727 | Linda J Mabey | Clinical Nurse Specialist | 117 West 200 So, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1588660773 | Lee W Bradshaw | Clinical Nurse Specialist | 5030 Harrison Blvd, Ogden, UT 84403-4311 | 2005-06-22 |
| 1265051262 | Alrae Snyder | Clinical Nurse Specialist | 1300 E Center St, Provo, UT 84606-3554 | 2020-04-10 |
| 1104080712 | Grace Belliston | Clinical Nurse Specialist | 982 Chambers St, Ogden, UT 84403-4571 | 2008-07-12 |
| 1134202161 | Martha Carol Mattsson | Clinical Nurse Specialist | 117 West 200 South, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on PATRICIA J DULLE.
| 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.