| NPI | 1639029333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL SILVA Nurse Practitioner 801-471-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-02-02 |