Estrada, Mayra
Estrada, Mayra is an sole proprietor health care provider with primary practice located at 181 E Medical Tower Dr Fl 2 , Murray UT 84107-4872. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Estrada, Mayra can be contacted via phone (801) 314-4500.Contact Information
Primary practice address
181 E Medical Tower Dr Fl 2
Murray UT 84107-4872
Phone: (801) 314-4500
Fax: (801) 314-2909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | 6306781-3102 | Utah |
Profile Details
| NPI number | 1013555705 |
|---|---|
| LBN Legal business name | Estrada, Mayra |
| Credentials | RN, BSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2019 |
| Last updated | Dec 13th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013555705 | NPPES |
| Other | 163WD0400X | TAXONOMY CODE |
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