NPI 1083897185

U of U Plastic Surgery Associates

Organisation Nurse Practitioner Salt Lake City, UT

Practice location

Address: 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0006
Phone: (801) 581-7073
Fax: (801) 581-5794
Mailing address: PO Box 58049, Salt Lake City, UT 84158-0049

Authorised official

Name: Jeff Ware
Title: Billing Manager
Phone: (801) 581-7073

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 5034170-4405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1083897185
Entity type: Organization
NPI issued: 11 Dec 2007
Record last updated: 11 Dec 2007

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.