Wellformed AI

NPI 1932060092 · live from the CMS NPI Registry

Michelle Lynn Andersen, FNP

Nurse Practitioner, Family in Salt Lake City, UT. National Provider Identifier 1932060092, active.

NPI record

NPI1932060092 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location2295 S, 2295 Foothill Dr., Salt Lake City, UT 84109
Practice phone801-468-3021
EnumeratedNovember 19, 2025
Last updatedNovember 19, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Family primary363LF0000X8177925-4405 (UT)

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