ARMANDO WAYNE SLACK APRN NPI 1659572949

NPI Information

  • NPI: 1659572949
  • Provider Name: ARMANDO WAYNE SLACK, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3780 S WEST TEMPLE STE 201
    SOUTH SALT LAKE, UT
    ZIP 84115
  • Phone: (385) 444-5800

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NPI Details

Armando Wayne Slack, APRN is a psychiatric/mental health nurse practitioner in South Salt Lake, UT with 12 years of experience. Armando Wayne Slack, APRN NPI is 1659572949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3780 S WEST TEMPLE STE 201
SOUTH SALT LAKE, UT
ZIP 84115-464
Phone: (385) 444-5800

The NPI 1659572949 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 5/31/2007 and was last updated on 9/29/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health2943544405UTAHYes
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)2943543102UTAHNo

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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