Individual
DR. NANCY N FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7930 S MAJESTIC RIDGE DR, SALT LAKE CITY, UT 84121-5789
(801) 946-1000
(801) 263-9141
Mailing address
7930 S MAJESTIC RIDGE DR, SALT LAKE CITY, UT 84121-5789
(801) 263-0611
(801) 263-9141
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.067614
OH
2084V0102X
Vascular Neurology Physician
Primary
1689321205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30000004S2HVEAS
CMS EHR CERTIFICATION ID
UT
05
—
527645756006
—
UT
Enumeration date
07/15/2006
Last updated
06/21/2019
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