Nathan Sanborn, PA
Nathan Sanborn, PA is a Physician Assistant in Salem, Utah. Qualified in 2022, 4 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 4
- Licensed in
- UT
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
555 W Sr 164Salem, UT 84653-8465
Phone: (801) 465-4896
Fax: (801) 465-3267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 13074268-1206 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1235861022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | October 28, 2022 |
| Certification date | October 25, 2022 |
| Mailing address | 1055 N 500 W, Attn Credentialing, Provo, UT 84604-5015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Salem
-
Courtney Amber Allred
1764 N Warbler Rd, Salem, UT 84653-5761 · (801) 787-1665
-
Dr. Kevin D. Christensen, MD
555 W Sr 164, Salem, UT 84653 · (801) 373-7350
-
Joel C Deehr, DMD
9968 S 400 E, Salem, UT 84653-9226 · (801) 874-8367