Individual provider · Type 1 NPI

Susanna Parker

Physician Assistant · Bountiful, UT

NPI number 1922707264 Active

Practice location

415 Medical Dr Ste A100
Bountiful, UT 84010-4995

Call (801) 683-1062 Map

Mailing address

148 N 360 W
Centerville, UT 84014-2139

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14242213-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1922707264

Susanna Parker's National Provider Identifier is 1922707264, issued on Feb 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bountiful, UT. The record was last updated on May 22, 2026.