Healthcare Provider Details

I. General information

NPI: 1619336823
Provider Name (Legal Business Name): JANICE LEE SCHORR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 W 200 S # 132
SALT LAKE CITY UT
84101-1603
US

IV. Provider business mailing address

32 W 200 S # 132
SALT LAKE CITY UT
84101-1603
US

V. Phone/Fax

Practice location:
  • Phone: 801-809-6522
  • Fax:
Mailing address:
  • Phone: 801-809-6522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number219099-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: