Provider Demographics
NPI:1053954727
Name:INSIGHT FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:INSIGHT FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN/FNP
Authorized Official - Prefix:
Authorized Official - First Name:CUICUI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-997-0368
Mailing Address - Street 1:8686 S 1300 E STE L102L104
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-1947
Mailing Address - Country:US
Mailing Address - Phone:801-997-0368
Mailing Address - Fax:801-382-7898
Practice Address - Street 1:8686 S 1300 E STE L102L104
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-1947
Practice Address - Country:US
Practice Address - Phone:801-997-0368
Practice Address - Fax:801-382-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT3014893Medicaid