Individual
DEBRA LYNN SANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 581-7609
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
272893-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
272893-4405
UT
Other
Enumeration date
11/03/2006
Last updated
11/03/2017
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