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Staci Janae Brandenburg, PA-C
Physician Assistant in West Valley City, Utah
NPI 1487279626

Staci Janae Brandenburg is a Physician Assistant based in Salt Lake City, UT. Staci Janae Brandenburg practices in West Valley City, UT and has the professional credentials of PA-C. The NPI Number for Staci Janae Brandenburg is 1487279626 and holds a License No. (Utah).

The current practice location address for Staci Janae Brandenburg is 2965 W 3500 S, West Valley City, UT and can be reached out via phone at 801-965-3419.

Location: 2965 W 3500 S, West Valley City, UT, 84170-0629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487279626
Provider Name
Staci Janae Brandenburg
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2965 W 3500 S, West Valley City, UT, 84170-0629
Phone Number
801-965-3419
Fax Number
Provider Enumeration Date
06/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2965 W 3500 S
City
West Valley City
State
Utah
Zip
84119-3602
Phone Number
801-965-3419
Fax Number
person
Provider Business Mailing Address Details
Address
2965 W 3500 S
City
West Valley City
State
Utah
Zip
84119-3602
Phone Number
801-965-3419
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
12602904-8906 (Utah)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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