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NPI 1659314706 · live from the CMS NPI Registry

Jennifer W Anderson, FNP

Nurse Practitioner, Family in Salt Lake City, UT. National Provider Identifier 1659314706, active.

NPI record

NPI1659314706 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location8006 S Mountain Oaks Dr, Salt Lake City, UT 84121
Practice phone801-634-5366
Mailing addressPo Box 150173, Ogden, UT 84415
EnumeratedJune 14, 2006
Last updatedJune 6, 2013
Sole proprietorNo
Other namesJennifer Anderson

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000X198045-4405 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.