Provider Demographics
NPI:1568037182
Name:NERGUI, ENKHOYUN (NP)
Entity Type:Individual
Prefix:
First Name:ENKHOYUN
Middle Name:
Last Name:NERGUI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7703
Mailing Address - Country:US
Mailing Address - Phone:801-830-4305
Mailing Address - Fax:385-336-3885
Practice Address - Street 1:1429 S STATE ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7703
Practice Address - Country:US
Practice Address - Phone:801-830-4305
Practice Address - Fax:385-336-3885
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7396860-3102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine