MEDICARE: JUDITH SAWAYA SAMPSON APRN

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	363LF0000X	Family Nurse Practitioner	2173224405	UT

General Provider Information

NPI Number	:	1538112214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH SAWAYA SAMPSON APRN

Provider Business Mailing Address
First Line	:	1225 FORT UNION BLVD
Second Line	:	SUITE 200
City	:	MIDVALE
State	:	UT
Zip	:	84047-1889
Country	:	US
Telephone Number	:	801-233-4400
Fax Number	:	801-233-4410

Provider Business Practice Location Address
First Line	:	3215 VALLEY ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-4217
Country	:	US
Telephone Number	:	801-466-3102
Fax Number	:	801-466-3576

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1326093436 — ELIZABETH NORRIS COLLINS APRN
Practice Location Address:

3215 VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-466-3102
Practice Fax: 801-466-3576

1518982149 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

3215 S VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-486-8477
Practice Fax: 801-464-8427

1104916956 — SONDRA DIANE HEASTON NP-C
Practice Location Address:

3215 VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-466-3102
Practice Fax:

1437289386 — IHC HEALTH SERVICES INC
Practice Location Address:

3215 VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-466-3102
Practice Fax:

1558495309 — IHC HEALTH SERVICES INC.
Practice Location Address:

3215 VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-466-3102
Practice Fax:

1346881851 — EDEM KOFFI AMEVOR
Practice Location Address:

3215 S VALLEY ST
SALT LAKE CITY, UT
84109-4217

Practice Phone: 801-486-8477
Practice Fax:

Directions to “ JUDITH SAWAYA SAMPSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.