MEDICARE: SATWANT KAUR SAINI

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	6581589-4405	UT

General Provider Information

NPI Number	:	1891388468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SATWANT KAUR SAINI

Provider Business Mailing Address
First Line	:	480 E 3900 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-1806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 E 3900 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-1806
Country	:	US
Telephone Number	:	801-879-0097
Fax Number	:

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

Provider Enumeration Date	:	02/15/2021
Last Update Date	:	02/15/2021

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Directions to “ SATWANT KAUR SAINI ” Practice Location

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