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

Zhan Wang

Individual provider Family Nurse Practitioner · NPI 1205486420

Zhan Wang is a Nurse Practitioner in South Salt Lake, Utah. Qualified in 2019, 7 years ago. Practices with Nephrology Associates of Utah LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6607076-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6607076-4405 (UT)

Record details

NPI number1205486420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nephrology Associates Of Utah Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Salt Lake