Organization · Type 2 NPI
Wasatch Nurse Practitioner Services
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1063798403
Active
Practice location
3683 Wildrose Ln
Salt Lake City, UT 84109-4324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1166904405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063798403
Wasatch Nurse Practitioner Services's National Provider Identifier is 1063798403, issued on Oct 31, 2011. 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 Oct 31, 2011.