Individual provider · Type 1 NPI

Stephanie Boulter, PA-C

Physician Assistant · Cottonwood Heights, UT

NPI number 1295970515 Active

Practice location

1265 E Fort Union Blvd Ste 120
Cottonwood Heights, UT 84047-1845

Call (801) 917-5561 Map

Fax (800) 775-1064

Mailing address

8132 S 3500 E
Cottonwood Heights, UT 84121-5956

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295970515

Stephanie Boulter, PA-C's National Provider Identifier is 1295970515, issued on Dec 16, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cottonwood Heights, UT. The record was last updated on Aug 12, 2025.