WASATCH NURSE PRACTITIONER SERVICES
NPI 1063798403
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Wasatch Nurse Practitioner Services's NPI number?

The NPI number for Wasatch Nurse Practitioner Services is 1063798403. It was assigned to this organization in the NPPES registry on October 31, 2011.

Q: What is Wasatch Nurse Practitioner Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 31, 2011

3683 WILDROSE LN, SALT LAKE CITY, UT 84109(801) 918-9793 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Wasatch Nurse Practitioner Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH NURSE PRACTITIONER SERVICES (NPI 1063798403) is a healthcare organization registered as a family in Salt Lake City, Utah and active in the NPI registry since October 2011. The organization lists Sandra W Bagley, Owner, as its authorized official.

NPPES Registry Identity

NPI1063798403

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameWASATCH NURSE PRACTITIONER SERVICES

Location Address3683 WILDROSE LNSalt Lake City, UT 84109-4324

Mailing Address3683 Wildrose LnSalt Lake City, UT 84109-4324 · (801) 918-9793

Phone(801) 918-9793

Organization SubpartNo

Authorized OfficialSandra W BagleyOwner · (801) 918-9793

Enumeration DateOctober 31, 2011

✔ NPI 1063798403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 1166904405

3683 WILDROSE LN, Salt Lake City, UT 84109

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wasatch Nurse Practitioner Services's NPI number?

The NPI number for Wasatch Nurse Practitioner Services is 1063798403. It was assigned to this organization in the NPPES registry on October 31, 2011.

Where is Wasatch Nurse Practitioner Services located?

Wasatch Nurse Practitioner Services is located at 3683 Wildrose Ln, Salt Lake City, UT 84109. The listed phone number is (801) 918-9793.

What is Wasatch Nurse Practitioner Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wasatch Nurse Practitioner Services was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.