Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elyse E Lake, NP

Individual provider Family Nurse Practitioner · NPI 1063721611

Elyse E Lake, NP is a Nurse Practitioner in West Jordan, Utah. Qualified in 2010, 16 years ago. Practices with Hunter Medical Center Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3354 W 7800 S
West Jordan, UT 84088-4506
Phone: (801) 282-2677
Fax: (801) 282-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6168554-8900 (UT)

Record details

NPI number1063721611
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 30, 2010
Last updated in NPPESDecember 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hunter Medical Center Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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