Healthcare Provider Details

I. General information

NPI: 1508722745
Provider Name (Legal Business Name): ABIGAIL JANE SAUNDERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 1230 N SORENSON LEGACY TOWER, BUILDING 4, SUITE 104
PROVO UT
84604
US

IV. Provider business mailing address

15101 S BRIGHT STARS DR
BLUFFDALE UT
84065-4968
US

V. Phone/Fax

Practice location:
  • Phone: 385-375-2700
  • Fax:
Mailing address:
  • Phone: 801-661-2978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number11608757-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: