OrganizationActive
George E Wahlen Va
NPI 1063658284 · Diabetes Educator Registered Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1063658284
- Entity type
- Organization
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Janmarie Petersen, Staff Nurse(801) 582-1565
- License
- 2085793102 (UT)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Va Slc Hcs
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2576
Approximate (ZIP-level) locationGet directions
Mailing address
Va Slc Hcs
Salt Lake City, UT 84148-0001
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2009-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.