AKINA ANDERSTROM
NPI 1790632933
Nurse Practitioner - School in Salt Lake City, UT

Active since March 16, 2026
321 E 3RD AVE, SALT LAKE CITY, UT 84103(801) 645-0843 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Akina Anderstrom NPPES

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

AKINA ANDERSTROM (NPI 1790632933) is an individual school provider in Salt Lake City, Utah, licensed in Utah (11288012-3102) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1790632933
Entity TypeIndividualFemale
Primary Taxonomy363LS0200X
Provider Legal NameAKINA ANDERSTROM
Location Address321 E 3RD AVESalt Lake City, UT 84103-2660
Mailing Address321 E 3rd AveSalt Lake City, UT 84103-2660
Sole ProprietorYes
Enumeration DateMarch 16, 2026
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1790632933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
License Licensed in UT · 11288012-3102
321 E 3RD AVE, Salt Lake City, UT 84103

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790632933, enumerated as an "individual" on March 16, 2026.

The provider is located at 321 E 3RD AVE SALT LAKE CITY, UT 84103 and the phone number is (801) 645-0843.

Nurse Practitioner with taxonomy code 363LS0200X and a focus in School.