NPI 1669160792 · live from the CMS NPI Registry
Elise Marie Anderson, DNP
Nurse Practitioner, Family in Salt Lake City, UT. National Provider Identifier 1669160792, active.
NPI record
| NPI | 1669160792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 500 Foothill Dr, Salt Lake City, UT 84148 |
| Practice phone | 801-582-1565 |
| Mailing address | Po Box 912042, St George, UT 84791 |
| Enumerated | April 26, 2023 |
| Last updated | June 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 12096000-3102 (UT) |
| Nurse Practitioner, Family primary | 363LF0000X | 12096000-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.