MR. EDWARD EUGENE WIRKOWSKI


Address: 500 Foothill Drive, Building 3 - Ipu, Salt Lake City, UT 84148
Phone: 8015821565

MR. EDWARD EUGENE WIRKOWSKI (NPI# 1609224047) 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) 1609224047
Entity Type Individual
Full Name MR. EDWARD EUGENE WIRKOWSKI
Credential APRN
Practice Address 500 Foothill Drive
Building 3 - Ipu
Salt Lake City
UT 84148
Mailing Address 7345 S Claim Jumper Cir
Cottonwood Heights
UT 84121-4601
Practice Telephone 8015821565
Enumeration Date 2016-05-26
Last Update Date 2019-05-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 6555 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 FOOTHILL DRIVE
BUILDING 3 - IPU
City SALT LAKE CITY
State UT
Zip Code 84148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770530800 Gerald Saul Treiman Surgery 500 Foothill Drive, Salt Lake City, UT 84103 2006-05-27
1477107944 Rachael Patterson Student in an Organized Health Care Education/Training Program 500 Foothill Drive, Salt Lake City, UT 84148 2019-08-01
1609433572 Jennylynn F Palisoc Nurse Practitioner 500 Foothill Drive, Salt Lake City, UT 84148 2019-05-24
1023306297 Slc Va Medical Center Special Hospital 500 Foothill Drive, Salt Lake City, UT 84148 2011-07-21
1831409960 Rose Mary Jepson-sullivan Dietitian, Registered 500 Foothill Drive, George E. Wahlen Dept of Va Medical Ctr, Salt Lake City, UT 84148-0001 2010-10-07
1467781526 Sharon Mcwilliams Laurenzi Registered Nurse 500 Foothill Drive, George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT 84148 2009-12-18
1740386085 Lucy Hall Leaver Nurse Practitioner 500 Foothill Drive, Salt Lake Va Hospital, Salt Lake City, UT 84148 2006-09-15
1922017888 David Causey Internal Medicine 500 Foothill Drive, Salt Lake City, UT 84148-0001 2006-08-07
1780627455 Patrick Joseph Miller Psychologist 500 Foothill Drive, Va Salt Lake City Health Care System, Salt Lake City, UT 84148 2006-06-13

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467085019 Hillary Price Nurse Practitioner 30 N Medical Drive, Salt Lake City, UT 84132-0001 2020-02-21
1467093328 Tessa Rachel Curtis Nurse Practitioner 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 2019-10-02
1033773544 Marathon Health, LLC Nurse Practitioner 1930 S State St, Salt Lake City, UT 84115-2311 2019-04-30
1912488347 Wendy Jane Frey Nurse Practitioner 3490 E Hermes Dr, Salt Lake City, UT 84124-3211 2018-08-23
1851813299 Wayne Berg Nurse Practitioner 1060 E 100 S Ste 110, Salt Lake City, UT 84102-1591 2017-07-07
1982051785 Patricia M Starks Nurse Practitioner 2678 S Glenmare St, Salt Lake City, UT 84106-3606 2016-05-21
1215392287 Chad Dorman Dansie Nurse Practitioner 200 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2015-12-17
1346642121 Randi Moore Hollis Nurse Practitioner 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 2014-09-23
1699049866 Keri Page Nurse Practitioner 100 Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 2012-03-05
1710267877 Trudy L. Hardin-reynolds Nurse Practitioner 825 Northcrest Dr, Salt Lake City, UT 84103-3320 2011-08-22
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84148

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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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