Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 10822131-4405 | UT |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 10822131-4405 | UT |
NPI | 1023573656 |
---|---|
Provider Name | Sarah Merrick |
First Address | Orem, UT 84057-2840 |
Second Address | Orem, UT 84057-2840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2019 |
Last Update Date | 07/02/2019 |