Individual provider · Type 1 NPI
Debra Lynn Sandt
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1164501631
Active
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 413021
Salt Lake City, UT 84141-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 272893-4405 (UT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 272893-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1164501631
Debra Lynn Sandt's National Provider Identifier is 1164501631, issued on Nov 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 3, 2017.