Provider Demographics
NPI:1578565263
Name:DODENBIER, CINDIE G (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDIE
Middle Name:G
Last Name:DODENBIER
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:CINDIE
Other - Middle Name:G
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:UT
Mailing Address - Zip Code:84001-0338
Mailing Address - Country:US
Mailing Address - Phone:801-452-1066
Mailing Address - Fax:
Practice Address - Street 1:275 W 200 N
Practice Address - Street 2:SUITE 7
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1861
Practice Address - Country:US
Practice Address - Phone:801-546-1300
Practice Address - Fax:801-546-1301
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT268700-4400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT268700-4405OtherPROFESSIONAL LICENSE
UTU000087610OtherLSPM PTAN
UT0360606OtherFNP-BC CERTIFICATION
UTMB0750251OtherDEA
UTMB0750251OtherDEA