NPI 1003461062

Wasatch Primary Care PLLC

Organisation Family Nurse Practitioner Salt Lake City, UT

Practice location

Address: 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Mailing address: 6807 S 3200 W, West Jordan, UT 84084-1828

Authorised official

Name: Andrew Brice Heinecke
Title: Owner
Phone: (801) 350-1065

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1003461062
Entity type: Organization
NPI issued: 7 Aug 2019
Record last updated: 7 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.