Organization
PREMIER NURSING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LIVINGSTON FNP-BGRN, IQCN (OWNER)
(801) 733-9833
Entity
Organization
Contact information
Practice address
9980 S 300 W, SUITE 200, SANDY, UT 84070
(801) 733-9833
Mailing address
9980 S 300 W, SUITE 200, SANDY, UT 84070
(801) 733-9833
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2014-HHA-UT000631
UT
251F00000X
Home Infusion Agency
2014-HHA-UT000631
UT
251J00000X
Nursing Care Agency
2014-HHA-UT000631
UT
Other
Enumeration date
01/08/2015
Last updated
04/09/2021
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