Van Atta, Joan Karen

Van Atta, Joan Karen is an sole proprietor health care provider with primary practice located at 1950 Circle Of Hope Hch 5Th Floor, Salt Lake City UT 84112-5550. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Van Atta, Joan Karen can be contacted via phone (801) 585-0100.

Contact Information

Primary practice address
1950 Circle Of Hope Hch 5Th Floor Salt Lake City UT 84112-5550
Phone: (801) 585-0100
Fax: (801) 585-7902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 215559-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 215559-4405 Utah

Profile Details

NPI number 1497768279
LBN Legal business name Van Atta, Joan Karen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Dec 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497768279 NPPES
Utah MEDICAID 1497768279
Utah MEDICAID 807008300

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