Organization
WASATCH PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BRICE HEINECKE FNP-C (OWNER)
(801) 350-1065
Entity
Organization
Contact information
Practice address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
Mailing address
6807 S 3200 W, WEST JORDAN, UT 84084-1828
(801) 350-1065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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