Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wasatch Nurse Practitioner Services

Organization Family Nurse Practitioner · NPI 1063798403

Wasatch Nurse Practitioner Services is a Family Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011

Practice location Address checks out

3683 Wildrose Ln
Salt Lake City, UT 84109-4324
Phone: (801) 918-9793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1166904405 (UT)

Record details

NPI number1063798403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Bagley — Owner · (801) 918-9793
NPI enumeratedOctober 31, 2011
Last updated in NPPESOctober 31, 2011
Mailing address3683 Wildrose Ln, Salt Lake City, UT 84109-4324

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