Individual
SIERRA IXTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
95 E 820 S, LEHI, UT 84043-4851
(801) 419-1096
Mailing address
95 E 820 S, LEHI, UT 84043-4851
(801) 419-1096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120788324405
UT
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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