# WASATCH NP HOUSE CALLS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982412375
- **Authorized official:** KAITLYN PELLETIER (OWNER)
- **Authorized official phone:** (801) 252-5209

## Contact information

- **Practice address:** 3907 SILVER SPUR CIR, PARK CITY, UT 84098-4819
- **Practice address phone:** (801) 252-5209
- **Mailing address:** 50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
- **Mailing address phone:** (801) 252-5209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 12/18/2024