Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLUE SAGE MEDICAL LLC
Active OrganizationBLUE SAGE MEDICAL LLC is a Primary Care Nurse Practitioner organization located in PARK CITY, Utah. NPI 1487016226 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · PARK CITY, UT
Registration Details
- NPI Number
- 1487016226
- Provider Type
- Organization
- NPI Issued
- Mar 22, 2016 (10.427187576796 yrs)
- Last Updated
- Aug 29, 2017
- License
-
123071-4405 (UT)
Practice Information
- Address
-
6300 SAGEWOOD DRSUITE H-532PARK CITY, UT, 840987502Browse UT providers · Browse ZIP 84098
- Phone
- 8017187280
- Fax
- 8888535162
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.