Healthcare Provider Details

I. General information

NPI: 1427975572
Provider Name (Legal Business Name): RUTH MICHELLE BARTLETT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 E CANTERBURY LN
COTTONWOOD HEIGHTS UT
84121-5108
US

IV. Provider business mailing address

2596 E CANTERBURY LN
COTTONWOOD HEIGHTS UT
84121-5108
US

V. Phone/Fax

Practice location:
  • Phone: 801-735-1904
  • Fax:
Mailing address:
  • Phone: 801-735-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6973609-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: