Individual
LEIGH SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094
(801) 501-2100
Mailing address
10473 S GLADYS DR, SOUTH JORDAN, UT 84095-2773
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
8340881-3102
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
8340881-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8340881-3102
RN
UT
01
—
8340881-4405
APRN
UT
01
—
8340881-8900
APRN CONTROLLED SUBSTANCE
UT
Enumeration date
04/04/2018
Last updated
07/03/2018
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