IndividualActive
Susan Conner, CPNP
NPI 1386845907 · Pediatric Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1386845907
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202925-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Fairfax Road at Virginia Street
Salt Lake City, UT 84103-4399
Phone: (801) 536-3517
Fax: (801) 536-3549
Street-level locationGet directions
Mailing address
3752 Mountain Valley Way
Sandy, UT 84092-6059
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.