Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susanna Parker

Individual provider Physician Assistant · NPI 1922707264

Susanna Parker is a Physician Assistant in Bountiful, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2023

Practice location Address checks out

415 Medical Dr Ste A100
Bountiful, UT 84010-4995
Phone: (801) 683-1062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14242213-1206 (UT)

Record details

NPI number1922707264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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