CHARLENE HOLBROOK (NPI# 1376675231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376675231 |
Entity Type | Individual |
Full Name | CHARLENE HOLBROOK |
Credential | FNP |
Practice Address |
1170 E Gentile St Layton UT 84040-4062 |
Mailing Address |
937 S 925 W Woods Cross UT 84087-2032 |
Practice Telephone | 8015935566 |
Mailing Telephone | 8012942856 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3449438900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1170 E GENTILE ST |
City | LAYTON |
State | UT |
Zip Code | 84040-4062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679598205 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1170 E Gentile St, Layton, UT 84040-6802 | 2006-07-13 |
1396376422 | Krista Colleen Bennett | Pharmacist | 1170 E Gentile St, Layton, UT 84040-6802 | 2020-01-28 |
1992347744 | Emelyn Adler | Pharmacist | 1170 E Gentile St, Layton, UT 84040-6802 | 2019-10-14 |
1104468214 | Julie Lamar | Pharmacist | 1170 E Gentile St, Layton, UT 84040-6802 | 2019-10-09 |
1376184846 | Stephanie Wynne Maurent | Pharmacist | 1170 E Gentile St, Layton, UT 84040-6802 | 2019-10-04 |
1255465746 | Ihc Health Services Inc | Registered Nurse | 1170 E Gentile St, Layton, UT 84040-6802 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
Find all providers in zip 84040 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134769342 | Mark Roland Nickle | Nurse Practitioner | 249 S 1050 E, Layton, UT 84041-4499 | 2020-01-15 |
1003478801 | Jennifer C Green | Nurse Practitioner | 838 E 625 S, Layton, UT 84041-4300 | 2019-07-01 |
1225549793 | Tatha Marie Enz | Nurse Practitioner | 1951 N 2000 E, Layton, UT 84040-2305 | 2017-10-23 |
1235488917 | Kimberly Simpson | Nurse Practitioner | 124 S. Fairfield Rd, Layton, UT 84041 | 2012-09-10 |
1710545603 | Ann-kristin Swahn | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-06-05 |
1750842381 | Catherine Kelly Pierce | Nurse Practitioner | 1660 W Antelope Dr Ste 225, Layton, UT 84041-1167 | 2019-03-27 |
1821559360 | Avery Weida | Nurse Practitioner | 1660 W Antelope Dr Ste 225, Layton, UT 84041-1167 | 2019-03-27 |
1851874184 | Emily Dawn Bankhead | Nurse Practitioner | 2084 N Robins Dr Ste A, Layton, UT 84041-1118 | 2018-09-12 |
1811409774 | Dana Shelton | Nurse Practitioner | 2086 N 1700 W Ste D, Layton, UT 84041-1164 | 2017-11-01 |
1659801389 | Andrew Cardon | Nurse Practitioner | 2075 University Park Blvd, Layton, UT 84041-1611 | 2017-06-15 |
Find all providers in LAYTON |
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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.