Healthcare Provider Details

I. General information

NPI: 1295427490
Provider Name (Legal Business Name): STEPHANIE JEAN SPHAR DNP/FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE J WILSON RN

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 SHEPARD LN STE 200
FARMINGTON UT
84025-2974
US

IV. Provider business mailing address

PO BOX 5546
DENVER CO
80217-5546
US

V. Phone/Fax

Practice location:
  • Phone: 801-397-6260
  • Fax: 801-397-6262
Mailing address:
  • Phone: 801-475-3500
  • Fax: 801-475-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number343989-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343989-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: