Organization
SANAVERA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MITCHELL FNP (OWNER)
(661) 992-3146
Entity
Organization
Contact information
Practice address
6626B W WIDE HOLLOW DR, HERRIMAN, UT 84096-3550
(661) 992-3146
Mailing address
7533 S CENTER VIEW CT # 6273, WEST JORDAN, UT 84084-5526
(661) 992-3146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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