Individual
MS. SANDRA DEANNE SPACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGANCP-BC
Contact information
Practice address
30 N 1900 E, 4A100, SALT LAKE CITY, UT 84132-0002
(801) 585-7676
(801) 581-7735
Mailing address
30 N 1900 E, 4A100, SALT LAKE CITY, UT 84132-0002
(801) 585-7676
(801) 581-7735
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
288353-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
288353-8900
UT
Other
Enumeration date
09/28/2015
Last updated
11/18/2021
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