Basic Information
Provider Information
NPI: 1275589715
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEEGERS
FirstName: CATHY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1288 W 2240 S
Address2: SUITE A
City: SALT LAKE CITY
State: UT
PostalCode: 841191404
CountryCode: US
TelephoneNumber: 8015341360
FaxNumber: 8013669883
Practice Location
Address1: 3838 S 700 E
Address2: SUITE 200
City: SALT LAKE CITY
State: UT
PostalCode: 841061466
CountryCode: US
TelephoneNumber: 8012614988
FaxNumber: 8012699427
Other Information
ProviderEnumerationDate: 05/26/2006
LastUpdateDate: 12/10/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X215963-4405UTY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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