Individual
ARCHANA A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR STE 220, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 220, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9015159-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
9015159-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9015159-8900
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/25/2019
Last updated
11/11/2021
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