Healthcare Provider Details

I. General information

NPI: 1437705134
Provider Name (Legal Business Name): SABRINA LOU HARMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2019
Last Update Date: 08/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3539 S 800 W
BOUNTIFUL UT
84010-8316
US

IV. Provider business mailing address

3539 S 800 W
BOUNTIFUL UT
84010-8316
US

V. Phone/Fax

Practice location:
  • Phone: 801-860-1094
  • Fax:
Mailing address:
  • Phone: 801-860-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9019596-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: