Provider Demographics
NPI:1346094901
Name:ALIGN THERAPEUTICS LLC
Entity Type:Organization
Organization Name:ALIGN THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:385-743-1581
Mailing Address - Street 1:1250 W 4505 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-3247
Mailing Address - Country:US
Mailing Address - Phone:801-694-2775
Mailing Address - Fax:
Practice Address - Street 1:8184 S HIGHLAND DR STE C6B
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6496
Practice Address - Country:US
Practice Address - Phone:385-743-1581
Practice Address - Fax:801-630-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty