Individual provider · Type 1 NPI

Kellie Daugharty Lewis, APRN

Nurse Practitioner · Sandy, UT

NPI number 1750467155 Active

Practice location

39 Wanderwood Way
Sandy, UT 84092-4866

Fax (801) 302-0645

Mailing address

PO Box 1009
Riverton, UT 84065-1009

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X322464-4405 (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…

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About NPI 1750467155

Kellie Daugharty Lewis, APRN's National Provider Identifier is 1750467155, issued on Oct 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sandy, UT. The record was last updated on Feb 14, 2022.