Wasek, Cynthia Phyllis

Wasek, Cynthia Phyllis is an individual health care provider with primary practice located at 4376 S 700 E Ste 200 , Salt Lake City UT 84107-3077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wasek, Cynthia Phyllis can be contacted via phone (385) 272-4292.

Contact Information

Primary practice address
4376 S 700 E Ste 200 Salt Lake City UT 84107-3077
Phone: (385) 272-4292
Fax: (866) 855-3582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2001478900 Utah

Profile Details

NPI number 1952398737
LBN Legal business name Wasek, Cynthia Phyllis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 13th, 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 1952398737 NPPES
Utah MEDICAID 1952398737

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