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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTAL COMMUNITY CENTER INC

Active Organization

COASTAL COMMUNITY CENTER INC is a Primary Care Nurse Practitioner organization located in PROVO, Utah. NPI 1295690527 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1295690527
Provider Type
Organization
NPI Issued
Dec 18, 2025 (0.68501609916803 yrs)
Last Updated
Dec 18, 2025

Practice Information

Address
3650 N UNIVERSITY AVE STE 150
PROVO, UT, 846046636
Browse UT providers · Browse ZIP 84604
Phone
7028092505
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.