Individual provider · Type 1 NPI

Roxanne Lewallen, RN

Registered Nurse · Draper, UT

NPI number 1073452074 Active

Practice location

11616 S State St Ste 1501
Draper, UT 84020-7125

Call (801) 903-7479 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X8409727-3102 (UT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073452074

Roxanne Lewallen, RN's National Provider Identifier is 1073452074, issued on Mar 25, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Draper, UT. The record was last updated on Mar 25, 2026.