Gundersen, Nancy Elizabeth

Gundersen, Nancy Elizabeth is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gundersen, Nancy Elizabeth can be contacted via phone (801) 408-6220.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 408-6220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49731 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 380322-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 380322-1205 Utah

Profile Details

NPI number 1609080720
LBN Legal business name Gundersen, Nancy Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 10th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609080720 NPPES
Minnesota MEDICAID 647655000

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