HEIDI FAVERO


Address: 1160 E 3900 S, Ste 3500, Salt Lake City, UT 84124-1202
Phone: 8017434750

HEIDI FAVERO (NPI# 1538576673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538576673
Entity Type Individual
Full Name HEIDI FAVERO
Credential N.P.
Practice Address 1160 E 3900 S
Ste 3500
Salt Lake City
UT 84124-1202
Practice Telephone 8017434750
Practice Fax Number 8017434765
Mailing Telephone 8017434750
Mailing Fax Number 8017434765
Enumeration Date 2014-07-21
Last Update Date 2014-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
354334-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1160 E 3900 S
STE 3500
City SALT LAKE CITY
State UT
Zip Code 84124-1202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164414017 Edward W Ganellen Internal Medicine 1160 E 3900 S, Suite 2000, Salt Lake City, UT 84124-1202 2005-08-17
1962853432 Nicholas J. Paulk Md, PC Surgery 1160 E 3900 S, Ste 4100, Salt Lake City, UT 84124-1202 2016-06-27
1174988489 Michael Pulley Physician Assistant 1160 E 3900 S, Siuite 5000, Salt Lake City, UT 84124-1202 2015-12-31
1972972883 Aaron Adams Nurse Practitioner 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1236 2015-09-21
1578962700 Marc Waters Physician Assistant 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 2014-08-13
1255744017 Tyler Williamson Physician Assistant 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 2014-06-09
1922342732 St. Mark's Physician Billing, LLC Clinic/Center 1160 E 3900 S, Ste G200, Salt Lake City, UT 84124-1202 2012-11-16
1043561517 Ashley Majoskey Physician Assistant 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1202 2012-09-25
1437446168 Mountainstar Cardiology St Marks LLC Internal Medicine 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 2011-07-01
1427372515 Joanna Erzinger Psychiatry & Neurology 1160 E 3900 S, Suite 4100, Salt Lake City, UT 84124-1202 2010-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194353268 Kassandra Olson Nurse Practitioner 3151 E 3900 S, Salt Lake City, UT 84124-2143 2020-04-01
1609426659 Loriann Stromness Nurse Practitioner 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 2019-09-11
1447802418 Amanda Nichole Eckersley Nurse Practitioner 8th Avenue C Street, Salt Lake City, UT 84143-0001 2019-07-10
1750858643 Kristen Elena Gooch Nurse Practitioner 36 S State St Ste 2100, Salt Lake City, UT 84111-1472 2018-10-29
1659853992 Jessica Singer Nurse Practitioner 762 E Browning Ave, Salt Lake City, UT 84105-2209 2018-09-04
1184147175 Suzanne Milne Nurse Practitioner Lds Hospital 8th Avenue and C St Fl 8, Salt Lake City, UT 84143-0001 2017-07-20
1366964728 Matthew Wayne Jarvis Nurse Practitioner 1250 E 3900 S Ste 30, Salt Lake City, UT 84124-1354 2017-07-07
1841749256 Ashle Mayme Crane Nurse Practitioner 4435 S Loren Von Dr, Salt Lake City, UT 84124-3839 2016-09-26
1417405044 Brett Lavar Carroll Nurse Practitioner 8 Th Ave & C Street E8, Salt Lake City, UT 84143-0001 2016-09-12
1487042537 Adult Care Clinic Inc Nurse Practitioner 3920 S 1100 E Ste 250, Salt Lake City, UT 84124-1213 2014-12-23
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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