Healthcare Provider Details

I. General information

NPI: 1093960668
Provider Name (Legal Business Name): SARA JEAN ARRINGTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2008
Last Update Date: 04/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 W 300 N SUITE A
WEST POINT UT
84015-7479
US

IV. Provider business mailing address

3110 W 300 N SUITE A
WEST POINT UT
84015-7479
US

V. Phone/Fax

Practice location:
  • Phone: 385-393-8224
  • Fax: 385-393-8225
Mailing address:
  • Phone: 385-393-8224
  • Fax: 385-393-8225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4766767-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: