Naylor, Susan M

Naylor, Susan M is an individual health care provider with primary practice located at 1660 W Antelope Dr Ste 320 , Layton UT 84041-1172. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Naylor, Susan M can be contacted via phone (801) 820-5414.

Contact Information

Primary practice address
1660 W Antelope Dr Ste 320 Layton UT 84041-1172
Phone: (801) 820-5414
Fax: (801) 820-6913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 1218A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5272910-4405 Utah

Profile Details

NPI number 1245580661
LBN Legal business name Naylor, Susan M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2012
Last updated Apr 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245580661 NPPES
Utah MEDICAID EFFECTIVE 1/6/14
Utah Other P01448512/DV5339
Utah Other F0812127

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