Provider Type Icon

ANDERSON WELLNESS GROUP LLC NPI 1245793249


NPI Information

NPI: 1245793249
Provider Name: ANDERSON WELLNESS GROUP LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
9533 S 700 E STE 203
SANDY, UT
ZIP 84070
Phone: (801) 792-1034
Get Directions

ANDERSON WELLNESS GROUP LLC is a psychiatric/mental health nurse practitioner in Sandy, UT. ANDERSON WELLNESS GROUP LLC NPI is 1245793249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9533 S 700 E STE 203
SANDY, UT
ZIP 84070-456
Phone: (801) 792-1034

The provider's authorized official is Sumer Dawn Anderson .
The authorized official title is Aprn and has the following contact phone number (801) 676-9452.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 5/28/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11992071559MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.