Samantha Lee Stacks, NP is a family nurse practitioner in Salt Lake City, UT. Samantha Lee Stacks, NP NPI is 1992261077. 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:
409 W 400 S
SALT LAKE CITY, UT
ZIP 84101-135
Phone: (801) 364-0058
The NPI 1992261077 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 2/14/2019 and was last updated on 3/5/2024.