Thayer, Madeline Ann
Thayer, Madeline Ann is an sole proprietor health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Thayer, Madeline Ann can be contacted via phone (801) 662-3600.Contact Information
Primary practice address
100 N Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 10122671-3102 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 10122671-4405 | Utah |
Profile Details
| NPI number | 1003483207 |
|---|---|
| LBN Legal business name | Thayer, Madeline Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2021 |
| Last updated | Oct 26th, 2022 - about 3 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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