Provider Demographics
NPI:1801650049
Name:WALSER-SAIR, BRANDI
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:WALSER-SAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 E 9600 S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:UT
Mailing Address - Zip Code:84653-5566
Mailing Address - Country:US
Mailing Address - Phone:801-882-4611
Mailing Address - Fax:
Practice Address - Street 1:847 E 9600 S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:UT
Practice Address - Zip Code:84653-5566
Practice Address - Country:US
Practice Address - Phone:801-882-4611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty