VICKY SURUKY NPI 1851934707

NPI Information

  • NPI: 1851934707
  • Provider Name: VICKY SURUKY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4501 N UNIVERSITY AVE
    PROVO, UT
    ZIP 84604
  • Phone: (888) 676-7104

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NPI Details

Vicky Suruky is a family nurse practitioner in Provo, UT. Vicky Suruky NPI is 1851934707. 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:

4501 N UNIVERSITY AVE
PROVO, UT
ZIP 84604-504
Phone: (888) 676-7104

The enumeration date for this NPI number is 10/23/2019 and was last updated on 8/29/2023.

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
1163WP0808XRegistered NursePsychiatric/Mental Health8792215-3102UTAHNo
2363LF0000XNurse PractitionerFamily8792215-4405UTAHYes

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

NPI Synchronization or Removal

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