Individual provider · Type 1 NPI

Samantha Lee Stacks, NP

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1992261077 Active

Practice location

409 W 400 S
Salt Lake City, UT 84101-1135

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X10932001-4405 (UT)
Family Nurse Practitioner Primary 363LF0000X10932001-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1992261077

Samantha Lee Stacks, NP's National Provider Identifier is 1992261077, issued on Feb 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 10, 2024.