AURELIA RENEE WANN


Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: 8015818425

AURELIA RENEE WANN (NPI# 1891341574) 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) 1891341574
Entity Type Individual
Full Name AURELIA RENEE WANN
Other Name AURI CLARK
Credential DNP, WHNP-BC
Practice Address 50 N Medical Dr
Salt Lake City
UT 84132-0001
Practice Telephone 8015818425
Enumeration Date 2019-08-17
Last Update Date 2019-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
5358904-3102 UT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT DIVISION OF PROFESSIONAL LICENSING 5358904-3102 01

Office Location

Street Address 50 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555696 Yaw Ababio Boateng Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0100 2005-06-01
1073114864 Stephanie Bevill Registered Nurse 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-06
1609477801 Justin Larson Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-04
1366042467 Kirsty Aleah Vannoy Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-28
1629675673 Erica Kueneman Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-02
1487266680 Michelle A Barker Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1770195943 Lisa M Schaeffer Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1194336289 Michelle Rios Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1932710027 Tanner Ladsten Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1578174660 Rachel Sette Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659726511 Erin Johnson Cole Nurse Practitioner 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 2016-04-28
1386063048 Vennie Ying Nurse Practitioner 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 2014-04-10
1902112600 Cecily Light Nurse Practitioner 1167 Bryan Ave, Salt Lake City, UT 84105-2507 2010-08-19
1619160280 Holly Danielle Stewart Nurse Practitioner 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 2007-08-27
1477542363 Kathleen Ann Burke Nurse Practitioner 654 S 900 E, Salt Lake City, UT 84102-3478 2005-10-14
1467062570 Adrianne F Shewell Nurse Practitioner 654 S 900 E, Salt Lake City, UT 84102-3430 2020-08-04
1093239428 Molly Walker Beck Nurse Practitioner 675 S Arapeen Dr, Salt Lake City, UT 84108-1223 2017-07-27
1689007155 Sharlene K Watson Nurse Practitioner 1053 E 2100 S, Salt Lake City, UT 84106-2349 2013-08-19
1033410394 Kirsti Rinne Nurse Practitioner 654 S 900 E, Salt Lake City, UT 84102-3478 2010-11-03
1275842783 Haley Miyatake Summerhays Nurse Practitioner 24 S 1100 E, Ste 2009, Salt Lake City, UT 84102-1500 2010-09-30
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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