NPI 1023620168 · live from the CMS NPI Registry
Elisa Amador
Nurse Practitioner in Herriman, UT. National Provider Identifier 1023620168, active.
NPI record
| NPI | 1023620168 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 12428 S Mossberg Dr, Herriman, UT 84096 |
| Practice phone | 801-493-5945 |
| Enumerated | August 19, 2020 |
| Last updated | January 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist, Women's Health | 364SW0102X | 9806346-3102 (UT) |
| Nurse Practitioner primary | 363L00000X | 9806346-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.