| NPI | 1841764560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE HAINES Officer 801-377-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 208000000X Pediatrics |
| 251J00000X Nursing Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-05-21 |