Provider Demographics
NPI:1356979306
Name:ROSETT, HEATHER A (MD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:A
Last Name:ROSETT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:BEAGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 N 1900 E STE 2B200
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0002
Mailing Address - Country:US
Mailing Address - Phone:801-581-5501
Mailing Address - Fax:
Practice Address - Street 1:30 N 1900 E STE 2B200
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0002
Practice Address - Country:US
Practice Address - Phone:801-581-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12420111-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology