Provider Demographics
NPI:1932961190
Name:SCIORE MEDICAL CONSULTING LLC
Entity Type:Organization
Organization Name:SCIORE MEDICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ FNP
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIORE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSN, APRN, FNP
Authorized Official - Phone:801-680-6950
Mailing Address - Street 1:4574 W WARM CANYON LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-5029
Mailing Address - Country:US
Mailing Address - Phone:801-680-6950
Mailing Address - Fax:
Practice Address - Street 1:4574 W WARM CANYON LN
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-5029
Practice Address - Country:US
Practice Address - Phone:801-680-6950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty