Healthcare Provider Details

I. General information

NPI: 1437588332
Provider Name (Legal Business Name): WENDY KATHLEEN STEFFES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 11/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US

IV. Provider business mailing address

11530 SOUTH 2950 WEST
SOUTH JORDAN UT
84095
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-7674
  • Fax:
Mailing address:
  • Phone: 801-783-8973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number6432908-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: