Individual
HILARY FAE SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5340
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
190665-4405
UT
363LA2200X
Adult Health Nurse Practitioner
190665-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
190665-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01906654400001
REGENCE BCBS OF UTAH #
—
05
—
0437905
—
MT
01
—
64082
PEHP #
—
01
—
78951
UNIVERSITY HEALTH PLANS #
—
01
—
874968
DMBA #
—
05
—
D4077
—
UT
01
—
QM0000050898
ALTIUS #
—
Enumeration date
05/11/2006
Last updated
12/16/2013
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