Provider Demographics
NPI:1093399610
Name:PARRY, AMY KATHERYN (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:KATHERYN
Last Name:PARRY
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11075 S STATE ST STE 14
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-5194
Mailing Address - Country:US
Mailing Address - Phone:801-604-4383
Mailing Address - Fax:
Practice Address - Street 1:11075 S STATE ST STE 14
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5194
Practice Address - Country:US
Practice Address - Phone:801-604-4383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6407915-4405363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health