UPRI MURRAY NPI 1497014096

NPI Information

  • NPI: 1497014096
  • Provider Name: UPRI MURRAY
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 46D2013634
  • Address: 32 W WINCHESTER ST
    SUITE 200
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 281-0555

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NPI Details

UPRI MURRAY is an addiction medicine family medicine in Murray, UT. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. UPRI MURRAY NPI is 1497014096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 W WINCHESTER ST
SUITE 200
MURRAY, UT
ZIP 84107-607
Phone: (801) 281-0555
Fax: (801) 281-0444

The provider's authorized official is Shantelle Danae Nilla Qureshi Pratt .
The authorized official title is Manager and has the following contact phone number (801) 327-9336.

The CLIA number assigned to this NPI record is 46D2013634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/20/2021.

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
1207QA0401XFamily MedicineAddiction Medicine7112893-1204UTAHYes

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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