Healthcare Provider Details

I. General information

NPI: 1225799869
Provider Name (Legal Business Name): TERRACINA FISCHER ZITTING FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TERRACINA FISCHER APRN, RN

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13348 S MARKET CENTER DR STE 100
RIVERTON UT
84065-8009
US

IV. Provider business mailing address

11199 S HAWKWOOD DR
SANDY UT
84094-7024
US

V. Phone/Fax

Practice location:
  • Phone: 801-844-1600
  • Fax: 801-844-1601
Mailing address:
  • Phone: 801-576-9832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5288494-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: