Provider Demographics
NPI:1497901052
Name:MCOMBER, DAVID K (APRN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:MCOMBER
Suffix:
Gender:M
Credentials:APRN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-0362
Mailing Address - Country:US
Mailing Address - Phone:435-613-0733
Mailing Address - Fax:435-613-0732
Practice Address - Street 1:250 N FAIRGROUNDS RD STE 2
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4201
Practice Address - Country:US
Practice Address - Phone:435-613-0733
Practice Address - Fax:435-613-0732
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT378942-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care