SARA WILSON NPI 1689298085

NPI Information

NPI: 1689298085
Provider Name: SARA WILSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7777 S REDWOOD RD
WEST JORDAN, UT
ZIP 84084
Phone: (801) 966-1118
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Sara Wilson is a family nurse practitioner in West Jordan, UT. Sara Wilson NPI is 1689298085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 S REDWOOD RD
WEST JORDAN, UT
ZIP 84084-518
Phone: (801) 966-1118

The NPI 1689298085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2020 and was last updated on 7/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	8546685-3102	UTAH	No
2	363L00000X	Nurse Practitioner		8546685-4405	UTAH	No
3	363LF0000X	Nurse Practitioner	Family	8546685-4405	UTAH	Yes

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: 4/28/2024

NPI Synchronization or Removal

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