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Sara Dougherty, NP
Family Nurse Practitioner in Midvale, Utah
NPI 1821024480

Sara Dougherty is a Family Nurse Practitioner based in Midvale, UT and is specialized in Family. Sara Dougherty practices in Midvale, UT and has the professional credentials of NP. The NPI Number for Sara Dougherty is 1821024480 and holds a License No. 120828 (Utah).

The current practice location address for Sara Dougherty is 7302 S Bingham Junction Blvd, Midvale, UT and can be reached out via phone at 801-442-5502.

Location: 7302 S Bingham Junction Blvd, Midvale, UT, 84047-4804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821024480
Provider Name
Sara Dougherty
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7302 S Bingham Junction Blvd, Midvale, UT, 84047-4804
Phone Number
801-442-5502
Fax Number
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
428623219 05 MO
100183120A 05 OK
173861 01 MO ANTHEM
1821024480 01 NV SMA MEDICAID
500014122 01 RR MEDICARE
V112696 01 NV SMA MEDICARE
200000240A 05 KS
institution
Provider Business Practice Location Address Details
Address
7302 S Bingham Junction Blvd
City
Midvale
State
Utah
Zip
84047-4804
Phone Number
801-442-5502
Fax Number
person
Provider Business Mailing Address Details
Address
7302 S Bingham Junction Blvd
City
Midvale
State
Utah
Zip
84047-4804
Phone Number
801-442-5502
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN002108 (Nevada)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
120828 (Missouri)
Definition
Definition to come...
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