IndividualActive
Amanda Matsuura, FNP-C
NPI 1730654526 · Nurse Practitioner · Park City, UT
Provider details
- NPI number
- 1730654526
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10994220-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
750 Round Valley Dr Ste 201
Park City, UT 84060-7549
Phone: (435) 649-7680
Fax: (435) 776-9353
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2018-10-08
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.