Provider Demographics
NPI:1457077505
Name:ESKELSEN, ALYSHA DANAE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ALYSHA
Middle Name:DANAE
Last Name:ESKELSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5292 S COLLEGE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-2991
Mailing Address - Country:US
Mailing Address - Phone:801-293-8100
Mailing Address - Fax:801-293-8100
Practice Address - Street 1:5292 S COLLEGE DR STE 302
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-2991
Practice Address - Country:US
Practice Address - Phone:801-293-8100
Practice Address - Fax:801-293-8100
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8149643-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily