Wasatch Primary Care Pllc
NPI #1003461062 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003461062
- Entity Type
- Organization
- Organization Name
- Wasatch Primary Care Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 451 E BISHOP FEDERAL LN
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115-2357
- Phone
- (801) 487-7557
Authorized Official
- Name
- ANDREW BRICE HEINECKE, FNP-C
- Title
- OWNER
- Phone
- (801) 350-1065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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