Provider Demographics
NPI:1336394428
Name:SILVERTON, NATALIE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANNE
Last Name:SILVERTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 JUPITER DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3319
Mailing Address - Country:US
Mailing Address - Phone:801-554-9192
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF EM UNIVERSITY OF UTAH
Practice Address - Street 2:30 N. 1900 E. ROOM 1C026
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-587-7653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7154744207P00000X
UT7154744-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine