Clyde, Laura
Clyde, Laura is an individual health care provider with primary practice located at 9071 S 1300 W , West Jordan UT 84088-6672. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Clyde, Laura can be contacted via phone (801) 565-1162.Contact Information
Primary practice address
9071 S 1300 W
West Jordan UT 84088-6672
Phone: (801) 565-1162
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 7282627-3102 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7282627-4405 | Utah |
Profile Details
NPI number | 1821222092 |
---|---|
LBN Legal business name | Clyde, Laura |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2009 |
Last updated | Apr 22nd, 2022 - about 2 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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