Raphael Nutakor

Home Modifications Contractor · Midvale, UT

Individual Active NPI

NPI number 1487071973

Practice location

1042 E Fort Union Blvd # 123
Midvale, UT 84047
Phone
(775) 287-5508

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NPI record

NPI
1487071973
Entity type
Individual (Type 1)
Enumeration date
March 24, 2014
Last updated
March 24, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Home Modifications Contractor Primary 171WH0202X 52162 UT

Mailing address

48 W Inglenook Drive #720
Midvale, UT 84047
Phone
(775) 287-5508

About Raphael Nutakor

Raphael Nutakor is a healthcare provider registered in the NPI registry with the primary taxonomy Home Modifications Contractor (code 171WH0202X). The practice location is 1042 E Fort Union Blvd # 123, Midvale, UT 84047. The NPI number 1487071973 was assigned on March 24, 2014 and the record was last updated on March 24, 2014.

Raphael Nutakor lists a license in the registry: #52162 (UT) for Home Modifications Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raphael Nutakor?

The NPI number is 1487071973.

What is the phone number of Raphael Nutakor?

The phone number listed for the practice location is (775) 287-5508.

Where is Raphael Nutakor located?

1042 E Fort Union Blvd # 123, Midvale, UT 84047.

What is the taxonomy code for Raphael Nutakor?

The primary taxonomy code is 171WH0202X – Home Modifications Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.