Healthcare Provider Details

I. General information

NPI: 1396677944
Provider Name (Legal Business Name): SARA MUELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 S HIGHLAND DR STE 400
SALT LAKE CITY UT
84124-3565
US

IV. Provider business mailing address

4460 S HIGHLAND DR STE 400
SALT LAKE CITY UT
84124-3565
US

V. Phone/Fax

Practice location:
  • Phone: 801-272-4111
  • Fax:
Mailing address:
  • Phone: 801-272-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11680863-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: