INTEGRATIVE HEALTH AND WELLNESS LLC NPI 1972155539

NPI Information

NPI: 1972155539
Provider Name: INTEGRATIVE HEALTH AND WELLNESS LLC

Doing Business As: INTEGRATIVE MENTAL HEALTH AND WELLNESS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2666 S 2000 E STE 101
SALT LAKE CITY, UT
ZIP 84109
Phone: (801) 631-9363
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INTEGRATIVE HEALTH AND WELLNESS LLC is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. INTEGRATIVE HEALTH AND WELLNESS LLC NPI is 1972155539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Integrative Mental Health And Wellness.

The provider's business location address is:

2666 S 2000 E STE 101
SALT LAKE CITY, UT
ZIP 84109-721
Phone: (801) 631-9363
Fax: (801) 855-7998

The provider's authorized official is Emily Van Os .
The authorized official title is Nurse Practitioner and has the following contact phone number (801) 691-7064.

The enumeration date for this NPI number is 7/14/2019 and was last updated on 10/23/2020.

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			Yes

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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