True North Provider Services
NPI #1619834132 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1619834132
- Entity Type
- Organization
- Organization Name
- True North Provider Services
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Jan 7, 2026
- Last Updated
- Jan 7, 2026
Practice Location
- Address
- 2200 S STATE ST STE 200
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115-2724
- Phone
- (801) 922-4790
Authorized Official
- Name
- MARK WALLACE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (801) 628-1452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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