Individual
SARAH BRECKINRIDGE WADHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3485 W 5200 S, ROY, UT 84067-9438
(801) 475-3900
(801) 475-3901
Mailing address
1453 INDEPENDENCE BLVD, NEWPORT NEWS, VA 23608-7758
(303) 960-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12846750-4405
UT
Other
Enumeration date
08/19/2020
Last updated
03/02/2023
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