Individual provider · Type 1 NPI
Matthew Thomas Anderson, FNP-C
Primary Care Nurse Practitioner · Salt Lake City, UT
NPI number
1083108872
Active
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Mailing address
1957 W 5315 S
Taylorsville, UT 84129-1353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 8695316-4405 (UT) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1083108872
Matthew Thomas Anderson, FNP-C's National Provider Identifier is 1083108872, issued on Jun 15, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 15, 2018.