Individual provider · Type 1 NPI
Andrea Tillotson
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1396532065
Active
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6203483-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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- Joshua Jorgensen, MSN, FNP-CFamily Nurse Practitioner Salt Lake City, UT NPI 1013657014
About NPI 1396532065
Andrea Tillotson's National Provider Identifier is 1396532065, issued on Apr 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 21, 2026.