Individual provider · Type 1 NPI

Samantha Hubert

Critical Care Pediatric Nurse Practitioner · Salt Lake City, UT

NPI number 1700645652 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

1862 E Kalina Way # 11-308
Sandy, UT 84092-1244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X11526659-4405 (UT)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1700645652

Samantha Hubert's National Provider Identifier is 1700645652, issued on Mar 14, 2024. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Salt Lake City, UT. The record was last updated on May 24, 2024.