Sunrise Womens Health And Wellness PLLC
Clinic/Center, Multi-Specialty in Mapleton, UT. Organization (NPI-2).
NPI number1720748874
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1720748874
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunrise Womens Health And Wellness PLLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2021
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
724 S 1600 W Ste 200Mapleton, UT 84664-4349
Phone 385-448-0055 · Fax 801-797-0281
Mailing address
724 S 1600 W Ste 200Mapleton, UT 84664-4349
Phone 385-448-0055 · Fax 801-797-0281
Authorized official
Derrick Pickering
Owner
3854480055
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.