Healthcare Provider Details

I. General information

NPI: 1538083696
Provider Name (Legal Business Name): ELIZABETH LOWRY ROSIORU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZ ROSIORU FNP-C

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2734 E SWASONT WAY
HOLLADAY UT
84117-6343
US

IV. Provider business mailing address

2734 E SWASONT WAY
HOLLADAY UT
84117-6343
US

V. Phone/Fax

Practice location:
  • Phone: 801-652-8160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11121648-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: