Doctor Name: | BARBARA HENNAGIR |
NPI Number: | 1538215181 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 339671 |
Business Practice Address: | 150 College Ave Ephraim, UT - 846271550 |
Business Phone Number: | 4352837216 |
Business Fax Number: | 8013577742 |
Mailing Address: | Po Box 27128, SALT LAKE CITY |
State: | UT |
Postal Code: | 841270128 |
Phone Number: | 4352837216 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 339671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |