| NPI | 1245068626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER YOUNG VP 801-879-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-02-10 |