NPI 1063798403

Wasatch Nurse Practitioner Services

Organisation Family Nurse Practitioner Salt Lake City, UT

Practice location

Address: 3683 Wildrose Ln, Salt Lake City, UT 84109-4324
Phone: (801) 918-9793

Authorised official

Name: Sandra W Bagley
Title: Owner
Phone: (801) 918-9793

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 1166904405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1063798403
Entity type: Organization
NPI issued: 31 Oct 2011
Record last updated: 31 Oct 2011

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.