Basic Information
Provider Information
NPI: 1538617964
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAUGG
FirstName: VALERIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: A-GNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 337
Address2:  
City: LAYTON
State: UT
PostalCode: 840410337
CountryCode: US
TelephoneNumber: 8017734840
FaxNumber: 8015258151
Practice Location
Address1: 2121 N 1700 W
Address2:  
City: LAYTON
State: UT
PostalCode: 840418803
CountryCode: US
TelephoneNumber: 8017734840
FaxNumber: 8015258151
Other Information
ProviderEnumerationDate: 09/14/2016
LastUpdateDate: 12/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X5572357-4405UTY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
363L00000X5572357-4405UTN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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