MEDICARE: BRITTANIA DOXSTADER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	11107616-3102	UT

General Provider Information

NPI Number	:	1205793635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANIA DOXSTADER

Provider Business Mailing Address
First Line	:	329 W 1900 N
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-2190
Country	:	US
Telephone Number	:	801-668-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1401
Country	:	US
Telephone Number	:	385-563-2624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ BRITTANIA DOXSTADER ” Practice Location

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