Gundersen, Nancy Elizabeth
Gundersen, Nancy Elizabeth is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gundersen, Nancy Elizabeth can be contacted via phone (801) 408-6220.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 408-6220
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49731 | Minnesota |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 380322-1205 | Utah |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 380322-1205 | Utah |
Profile Details
NPI number | 1609080720 |
---|---|
LBN Legal business name | Gundersen, Nancy Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 9th, 2007 |
Last updated | Jul 10th, 2017 - about 7 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 | 1609080720 | NPPES |
Minnesota | MEDICAID | 647655000 |
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