Aseltine, Phyllis A
Aseltine, Phyllis A is an individual health care provider with primary practice located at 3702 S State St Ste 107 , South Salt Lake UT 84115-5096. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Aseltine, Phyllis A can be contacted via phone (801) 288-2634.Contact Information
Primary practice address
3702 S State St Ste 107
South Salt Lake UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1835254405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1835254405 | Utah |
Profile Details
| NPI number | 1376545251 |
|---|---|
| LBN Legal business name | Aseltine, Phyllis A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Apr 30th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376545251 | NPPES |
| Utah | MEDICAID | 1376545251 |
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