GRACE FORSYTHE PHD INC NPI 1558430389

NPI Information

NPI: 1558430389
Provider Name: GRACE FORSYTHE PHD INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2046 MURRAY HOLLADAY RD
103
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 273-7769
Get Directions

GRACE FORSYTHE PHD INC is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. GRACE FORSYTHE PHD INC NPI is 1558430389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2046 MURRAY HOLLADAY RD
103
SALT LAKE CITY, UT
ZIP 84117-125
Phone: (801) 273-7769
Fax: (801) 273-4073

The provider's authorized official is Grace A Forsythe .
The authorized official title is President and has the following contact phone number (801) 273-7769.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 12/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2189134405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000012113	MEDICARE ID-TYPE UNSPECIFIED	UTAH	PRIMARY LOCATION
2	267698	MEDICARE UPIN	UTAH
3	000012112	MEDICARE ID-TYPE UNSPECIFIED	UTAH	SECONDARY LOCATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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