TRUE NORTH PROVIDER SERVICES NPI 1619834132

NPI Information

  • NPI: 1619834132
  • Provider Name: TRUE NORTH PROVIDER SERVICES
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 2200 S STATE ST STE 200
    SOUTH SALT LAKE, UT
    ZIP 84115
  • Phone: (801) 922-4790

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NPI Details

TRUE NORTH PROVIDER SERVICES is a gerontology nurse practitioner in South Salt Lake, UT. TRUE NORTH PROVIDER SERVICES NPI is 1619834132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 S STATE ST STE 200
SOUTH SALT LAKE, UT
ZIP 84115-724
Phone: (801) 922-4790
Fax: (801) 922-4790

The provider's authorized official is Mark Wallace .
The authorized official title is Executive Director and has the following contact phone number (801) 628-1452.

The enumeration date for this NPI number is 1/7/2026 and was last updated on 1/7/2026.

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
1363LG0600XNurse PractitionerGerontologyYes

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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