OrganizationActive
Wasatch Nurse Practitioner Services
NPI 1063798403 · Family Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1063798403
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sandra Bagley, Owner(801) 918-9793
- License
- 1166904405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3683 Wildrose Ln
Salt Lake City, UT 84109-4324
Phone: (801) 918-9793
Street-level locationGet directions
Mailing address
3683 Wildrose Ln
Salt Lake City, UT 84109-4324
Registry dates
- Enumerated
- 2011-10-31
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.