| NPI | 1538667415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN ASHTON PRINCIPE Psychiatric Nurse Practitioner 801-923-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10569210-4405) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-09-17 |