Healthcare Provider Details

I. General information

NPI: 1295656429
Provider Name (Legal Business Name): SOZO FAMILY WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 N 100 E STE 4B
SPANISH FORK UT
84660-1241
US

IV. Provider business mailing address

826 N 100 E STE 4B
SPANISH FORK UT
84660-1241
US

V. Phone/Fax

Practice location:
  • Phone: 801-804-5682
  • Fax:
Mailing address:
  • Phone: 801-804-5682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHANDRA ANDERSON
Title or Position: OWNER
Credential: RN
Phone: 314-852-5355