Individual provider · Type 1 NPI

Amanda Rena Matsuura, FNP-C

Nurse Practitioner · Park City, UT

NPI number 1730654526 Active

Practice location

750 Round Valley Dr Ste 201
Park City, UT 84060-7549

Call (435) 649-7680 Map

Fax (435) 776-9353

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X10994220-4405 (UT)
Nurse Practitioner Primary 363L00000X10994220-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

9 other providers at this address

Other nurse practitioner providers in Park City

See all in Park City →

About NPI 1730654526

Amanda Rena Matsuura, FNP-C's National Provider Identifier is 1730654526, issued on Oct 8, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park City, UT. The record was last updated on Mar 31, 2026.