Organization · Type 2 NPI

Wasatch Primary Care PLLC

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1003461062 Active

Practice location

451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357

Mailing address

6807 S 3200 W
West Jordan, UT 84084-1828

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1003461062

Wasatch Primary Care PLLC's National Provider Identifier is 1003461062, issued on Aug 7, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 7, 2019.