Individual
SARAH K.L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(801) 800-2894
Mailing address
10808 N HIGHLAND CIR, HIGHLAND, UT 84003-9020
(801) 800-2894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5291605-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52916054400001
BCBS OF UTAH
UT
01
—
P00304489
PALMETTO
UT
Enumeration date
07/15/2006
Last updated
08/24/2020
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