Amanda Paige Brown, RN
Individual provider Active NPI Registered Nurse · SLC, UT
NPI 1861290124 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1861290124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 11366924-3102 (UT)
- Practice address
- 50 N Medical Dr # E10
SLC, UT 84132-0001 - Phone
- (801) 213-0884
- NPI assigned
- Mar 4, 2025
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11366924-3102 | UT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 11366924-3102 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr # E10
SLC, UT 84132-0001
Mailing address
50 N Medical Dr # E10
SLC, UT 84132-0001
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.