Healthcare Provider Details

I. General information

NPI: 1598506362
Provider Name (Legal Business Name): LAUREN ASHLEY WEGROWSKI DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ASHLEY SOMMERFELD

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S 2000 E
SALT LAKE CITY UT
84112-5880
US

IV. Provider business mailing address

10 S 2000 E
SALT LAKE CITY UT
84112-5880
US

V. Phone/Fax

Practice location:
  • Phone: 303-453-9826
  • Fax:
Mailing address:
  • Phone: 801-581-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number337658
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number11589986-4405
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number11589986-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: