IndividualActive
Matthew Anderson, FNP-C
NPI 1083108872 · Primary Care Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1083108872
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 8695316-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 213-7628
Approximate (ZIP-level) locationGet directions
Mailing address
1957 W 5315 S
Taylorsville, UT 84129-1353
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.