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NPI Code Detail

MEDICARE: SHERRIE RUTH AINSWORTH APRN - NNP

MEDICARE: SHERRIE RUTH AINSWORTH APRN - NNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0005XCritical Care Neonatal Nurse Practitioner189455-4405UT

General Provider Information

NPI Number : 1114102548
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE RUTH AINSWORTH APRN - NNP
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N 500 E
Second Line :
City : LOGAN
State : UT
Zip : 84341-2455
Country : US
Telephone Number : 435-716-1958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2008
Last Update Date : 02/13/2026

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