Sarah Archambault

Individual provider Active NPI Family Nurse Practitioner · Highland, UT

NPI 1154938348 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1154938348
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
9641715-4405 (UT)
Practice address
5326 W 11000 N
Highland, UT 84003-9544
Phone
(801) 814-7622
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9641715-4405UTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9641715-4405 UT Yes

Addresses

Primary practice location

5326 W 11000 N
Highland, UT 84003-9544

Mailing address

5326 W 11000 N
Highland, UT 84003-9544
Phone (801) 814-7622

Other providers in Highland, UT

All providers in Highland, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.