Healthcare Provider Details

I. General information

NPI: 1366302572
Provider Name (Legal Business Name): MARIA VEBER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11121 S TALL PINES WAY
SANDY UT
84092-5288
US

IV. Provider business mailing address

11121 S TALL PINES WAY
SANDY UT
84092-5288
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-3905
  • Fax:
Mailing address:
  • Phone: 406-600-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number12158221-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: