HomeNPI Verification

NPI Verification

National Provider Identifier: 1376325001

Providential Bba Operating Lp

Organization

Primary Specialty

Nurse Practitioner

Code: 363L00000X

All Specialties (4)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Hospice and Palliative Medicine

Code: 207RH0002X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Nurse Practitioner

Code: 363L00000X

Primary

Practice Address

481 S 400 E

BOUNTIFUL, UT 840104933

Phone: 801-397-8145

NPI Enumeration Date

October 17, 2023

NPI Number

1376325001

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry