IndividualActive
Andrea Southerland, NP
NPI 1932353380 · Family Nurse Practitioner · Riverton, UT
Provider details
- NPI number
- 1932353380
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 4552609-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1420 W 12600 S Ste 102
Riverton, UT 84065-7080
Phone: (801) 254-4600
Fax: (801) 254-9670
Approximate (ZIP-level) locationGet directions
Mailing address
1420 W 12600 S Ste 102
Riverton, UT 84065-7080
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.