Provider Demographics
NPI:1104282938
Name:BURNETT, SIERRA ANNE (APRN, WHNP-NC)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:ANNE
Last Name:BURNETT
Suffix:
Gender:F
Credentials:APRN, WHNP-NC
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:ANNE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3384 W 4600 S STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-9222
Mailing Address - Country:US
Mailing Address - Phone:801-731-9899
Mailing Address - Fax:801-731-9897
Practice Address - Street 1:3384 W 4600 S STE 1
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-9222
Practice Address - Country:US
Practice Address - Phone:801-731-9899
Practice Address - Fax:801-731-9897
Is Sole Proprietor?:No
Enumeration Date:2016-01-09
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT345756-3102163W00000X
UT345756-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse