Individual
SARAH LYN WAGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124-1236
(801) 266-3418
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5761373
ID
363LF0000X
Family Nurse Practitioner
Primary
8152168-4405
UT
Other
Enumeration date
08/15/2018
Last updated
07/25/2025
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