Organization · Type 2 NPI
Blue Sage Medical LLC
Primary Care Nurse Practitioner · Park City, UT
NPI number
1487016226
Active
Practice location
6300 Sagewood Dr, Suite H-532
Park City, UT 84098-7502
Fax (888) 853-5162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 123071-4405 (UT) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1487016226
Blue Sage Medical LLC's National Provider Identifier is 1487016226, issued on Mar 22, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Park City, UT. The record was last updated on Aug 29, 2017.