Individual
CHAD DORMAN DANSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4261
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 662-4261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7741509-4405
UT
363LN0000X
Neonatal Nurse Practitioner
Primary
7741509-4405
UT
Other
Enumeration date
12/17/2015
Last updated
01/21/2026
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