Provider Demographics
NPI:1063251460
Name:WINEGAR, HEIDI AASE (MSN, APRN, AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:AASE
Last Name:WINEGAR
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 W 9580 S
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-9646
Mailing Address - Country:US
Mailing Address - Phone:801-856-4982
Mailing Address - Fax:
Practice Address - Street 1:1250 E 3900 S STE 440
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84124-1349
Practice Address - Country:US
Practice Address - Phone:801-869-4100
Practice Address - Fax:801-869-4119
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6158919-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner