Healthcare Provider Details

I. General information

NPI: 1104282938
Provider Name (Legal Business Name): SIERRA ANNE BURNETT APRN, WHNP-NC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA ANNE HANSEN

II. Dates (important events)

Enumeration Date: 01/09/2016
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S 200 E STE 250
SALT LAKE CITY UT
84111-3846
US

IV. Provider business mailing address

660 S 200 E STE 250
SALT LAKE CITY UT
84111-3846
US

V. Phone/Fax

Practice location:
  • Phone: 801-359-2256
  • Fax: 801-364-4392
Mailing address:
  • Phone: 801-359-2256
  • Fax: 801-364-4392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number345756-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number345756-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: