MARY BETH LOFGREN NP NPI 1386268605

NPI Information

  • NPI: 1386268605
  • Provider Name: MARY BETH LOFGREN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 662-1000

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NPI Details

Mary Beth Lofgren, NP is a family nurse practitioner in Salt Lake City, UT. Mary Beth Lofgren, NP NPI is 1386268605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-1000

The NPI 1386268605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2020 and was last updated on 12/20/2021.

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
1163WP0200XRegistered NursePediatrics10226062-3102UTAHNo
2363L00000XNurse Practitioner10226062-4405UTAHNo
3363LF0000XNurse PractitionerFamily10226062-4405UTAHYes

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: 11/21/2025

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