Organization · Type 2 NPI

Sanavera Medical LLC

Nurse Practitioner · Herriman, UT

NPI number 1093638249 Active

Practice location

6626B W Wide Hollow Dr
Herriman, UT 84096-3550

Mailing address

6626 W Wide Hollow Dr
Herriman, UT 84096-3550

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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…

About NPI 1093638249

Sanavera Medical LLC's National Provider Identifier is 1093638249, issued on Aug 4, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Herriman, UT. The record was last updated on Aug 26, 2026.