MRS. AMANDA SUE AL-KHUDAIRI (NPI# 1861613242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861613242 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SUE AL-KHUDAIRI |
| Credential | MSN, RNC, APRN |
| Practice Address |
1906 W 3600 S Salt Lake City UT 84119-4715 |
| Mailing Address |
6900 S 800 E Midvale UT 84047-1431 |
| Practice Telephone | 8019739675 |
| Mailing Telephone | 8015699363 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
372242-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1906 W 3600 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659726511 | Erin Johnson Cole | Nurse Practitioner | 10 S 2000 E # Slc, Salt Lake City, UT 84112-5880 | 2016-04-28 |
| 1386063048 | Vennie Ying | Nurse Practitioner | 3090 E 3300 S Ste 100, Salt Lake City, UT 84109-2106 | 2014-04-10 |
| 1902112600 | Cecily Light | Nurse Practitioner | 1167 Bryan Ave, Salt Lake City, UT 84105-2507 | 2010-08-19 |
| 1619160280 | Holly Danielle Stewart | Nurse Practitioner | 348 E 4500 S Ste 200, Salt Lake City, UT 84107-3936 | 2007-08-27 |
| 1477542363 | Kathleen Ann Burke | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2005-10-14 |
| 1467062570 | Adrianne F Shewell | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3430 | 2020-08-04 |
| 1891341574 | Aurelia Renee Wann | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2019-08-17 |
| 1093239428 | Molly Walker Beck | Nurse Practitioner | 675 S Arapeen Dr, Salt Lake City, UT 84108-1223 | 2017-07-27 |
| 1689007155 | Sharlene K Watson | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-08-19 |
| 1033410394 | Kirsti Rinne | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2010-11-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on MRS. AMANDA SUE AL-KHUDAIRI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.