Individual
SAMANTHA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
41 E 1140 N STE B, SARATOGA SPRINGS, UT 84045-5467
(801) 407-6500
Mailing address
41 E 1140 N STE B, SARATOGA SPRINGS, UT 84045-5467
(801) 407-6500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5942923-3102
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
5942923-4405
UT
Other
Enumeration date
06/21/2021
Last updated
08/14/2025
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