Provider Demographics
NPI:1235997032
Name:SNELSON, AUBREY (APRN)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:SNELSON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1272 W CINCH WAY
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-1823
Mailing Address - Country:US
Mailing Address - Phone:801-580-1506
Mailing Address - Fax:
Practice Address - Street 1:3451 S 5600 W
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-1301
Practice Address - Country:US
Practice Address - Phone:801-957-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT138446149-4405363LP2300X
UT13846149-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care