Healthcare Provider Details

I. General information

NPI: 1912782012
Provider Name (Legal Business Name): PAULA JEAN BARNEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAULA JEAN ROBERTS RN

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10968 N ALPINE HWY
HIGHLAND UT
84003-8874
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-763-2900
  • Fax:
Mailing address:
  • Phone: 801-763-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number318005-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: