Individual provider · Type 1 NPI

Sierra Rose Mayzsak, APRN

Nurse Practitioner · Ogden, UT

NPI number 1073237624 Active

Practice location

1525 E 6000 S
Ogden, UT 84405-7144

Fax (801) 337-5809

Mailing address

PO Box 5546
Denver, CO 80217-5546

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10086344-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073237624

Sierra Rose Mayzsak, APRN's National Provider Identifier is 1073237624, issued on Sep 28, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ogden, UT. The record was last updated on Sep 23, 2026.