Provider Demographics
NPI:1356988604
Name:ORTON, GREGORY SETH (RN)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:SETH
Last Name:ORTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:3183 E SUGAR MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1394
Mailing Address - Country:US
Mailing Address - Phone:801-859-1796
Mailing Address - Fax:
Practice Address - Street 1:1380 E MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2123
Practice Address - Country:US
Practice Address - Phone:435-251-2992
Practice Address - Fax:435-251-1625
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT7643463-3102163W00000X
UT7643463-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse