Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ALAN ILLUM
Active Sole ProprietorJUSTIN ALAN ILLUM is a Family Nurse Practitioner healthcare provider located in MIDVALE, Utah. NPI 1265174452 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · MIDVALE, UT
Registration Details
- NPI Number
- 1265174452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2022 (4.3477936315454 yrs)
- Last Updated
- Dec 8, 2024
- License
-
10386297-4405 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
971 E CREEKHILL LN APT 10MIDVALE, UT, 840472365Browse UT providers · Browse ZIP 84047
- Phone
- 4176933850
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in MIDVALE, UT
| Name | Credential | NPI |
|---|---|---|
| SARA DOUGHERTY | NP | 1821024480 |
| NANCY LOUISE MECHAM | FNP | 1760596365 |
| MRS. MARIA CONCEPCION VALDIZAN-GARCIA | FNP | 1861709404 |
| STACIE R PEARCE | NP | 1912207226 |
| WHITNEY JEAN MENTABERRY | APRN | 1972936326 |
| MS. KATHERINE LYNN O'BRIEN | DNP, FNP, BC | 1316491327 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.