Individual
WANDA MARIE SOLORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PA-C
Contact information
Practice address
3460 S 4155 W, WEST VALLEY CITY, UT 84120
(209) 467-6444
Mailing address
PO BOX 274, RIVERTON, UT 84065-0274
(209) 485-0954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16176
CA
363A00000X
Physician Assistant
Primary
6560146-1206
UT
363LF0000X
Family Nurse Practitioner
NP12817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPA161760
—
CA
Enumeration date
11/04/2005
Last updated
02/06/2025
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