Van Rensburg, Samuel Harry

Van Rensburg, Samuel Harry is an individual health care provider with primary practice located at 5770 S 1500 W , Taylorsville UT 84123-5216. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Van Rensburg, Samuel Harry can be contacted via phone (203) 343-9490.

Contact Information

Primary practice address
5770 S 1500 W Taylorsville UT 84123-5216
Phone: (203) 343-9490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN02110 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11839389-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11839389-4409 Utah
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11839389-4409 Utah

Profile Details

NPI number 1063067346
LBN Legal business name Van Rensburg, Samuel Harry
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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