Baucom, Heather
Baucom, Heather is an individual health care provider with primary practice located at 2000 Circle Of Hope Dr # 4146 , Salt Lake City UT 84112-5550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baucom, Heather can be contacted via phone (801) 803-4175.Contact Information
Primary practice address
2000 Circle Of Hope Dr # 4146
Salt Lake City UT 84112-5550
Phone: (801) 803-4175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F07180626 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8248067-4405 | Utah |
Profile Details
| NPI number | 1225512064 |
|---|---|
| LBN Legal business name | Baucom, Heather |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2018 |
| Last updated | Oct 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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