Ronald Terry Draper
Nurse Practitioner
140 White Sage Ave
Delta
, Utah 84624-8928
Ronald Terry Draper
Nurse Practitioner
140 White Sage Ave
Delta
, Utah 84624-8928
(435) 864-2790
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Ronald Terry Draper
- 1055 N 500 W
- Provo, UT
- Zip : 84604-3305
- Fax : (435) 864-2790
- Phone : (435) 864-3333
Second Address
- Ronald Terry Draper
- 140 White Sage Ave
- Delta, UT
- Zip : 84624-8928
- Fax : (435) 864-2790
- Phone : (435) 864-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 195011-4405 | UT |
National Provider Identifier
| NPI | 1013004498 |
|---|---|
| Provider Name | Ronald Terry Draper |
| First Address | Provo, UT 84604-3305 |
| Second Address | Delta, UT 84624-8928 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 21/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 942854057540 | (05) | UT |
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.