Bethany April Flack
Nurse Practitioner - Neonatal (Critical Care)
50 N Medical Dr
Salt Lake City
, Utah 84132-0001
Bethany April Flack
Nurse Practitioner - Neonatal (Critical Care)
50 N Medical Dr
Salt Lake City
, Utah 84132-0001
(801) 581-2747
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Bethany April Flack
- 50 N Medical Dr
- Salt Lake City, UT
- Zip : 84132-0001
- Phone : (801) 581-2747
Second Address
- Bethany April Flack
- 50 N Medical Dr
- Salt Lake City, UT
- Zip : 84132-0001
- Phone : (801) 581-2747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 325575-4405 | UT |
National Provider Identifier
| NPI | 1265869721 |
|---|---|
| Provider Name | Bethany April Flack |
| First Address | Salt Lake City, UT 84132-0001 |
| Second Address | Salt Lake City, UT 84132-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2013 |
| Last Update Date | 30/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.