Doctor Name: | MRS. LYN STANDING |
NPI Number: | 1083037766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP |
License Number: | 314747-4405 |
Business Practice Address: | 100 Mario Capecchi Dr Slc, UT - 841131103 |
Business Phone Number: | 8016624100 |
Business Fax Number: | |
Mailing Address: | 311 S 5900 W, OGDEN |
State: | UT |
Postal Code: | 844049742 |
Phone Number: | 8016624100 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SN0000X |
License Number: | 314747-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |