| Doctor Name: | AARON DOUGLAS |
| NPI Number: | 1013336783 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 5545498-3102 |
| Business Practice Address: | 14425 S Bitterbrush Ln Draper, UT - 840209501 |
| Business Phone Number: | 8015767090 |
| Business Fax Number: | |
| Mailing Address: | 14425 S Bitterbrush Ln, DRAPER |
| State: | UT |
| Postal Code: | 840209501 |
| Phone Number: | 8015767090 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2014 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 5545498-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |