Healthcare Provider Details

I. General information

NPI: 1831387679
Provider Name (Legal Business Name): SHERREE C RECHTSTEINER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 S 300 W
BICKNELL UT
84715
US

IV. Provider business mailing address

128 S 300 W
BICKNELL UT
84715
US

V. Phone/Fax

Practice location:
  • Phone: 435-425-3744
  • Fax: 435-425-3785
Mailing address:
  • Phone: 435-425-3744
  • Fax: 435-425-3785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209912-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209912-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: