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
Fax: (801) 288-1186
Website:

Health care specialties

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 8 months 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 1376545251 NPPES
Utah MEDICAID 1376545251

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