Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WHOLELIFE FAMILY WELLNESS CLINIC OF PROVIDENCE PLLC
Active OrganizationWHOLELIFE FAMILY WELLNESS CLINIC OF PROVIDENCE PLLC is a Family Nurse Practitioner organization located in PROVIDENCE, Utah. NPI 1962049932 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PROVIDENCE, UT
Registration Details
- NPI Number
- 1962049932
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2019 (6.6656312713096 yrs)
- Last Updated
- Mar 13, 2020
Practice Information
- Address
-
169 N GATEWAY DR. SUITE 170PROVIDENCE, UT, 84332Browse UT providers · Browse ZIP 84332
- Phone
- 4352133597
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.