IndividualActive
Brent Thompson, NURSE PRACTITIONER
NPI 1063863876 · Primary Care Nurse Practitioner · Slc, UT
Provider details
- NPI number
- 1063863876
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8021622-8900 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
441 S Redwood Rd
Slc, UT 84104-3539
Phone: (801) 973-2588
Fax: (801) 973-6985
Approximate (ZIP-level) locationGet directions
Mailing address
441 S Redwood Rd
Slc, UT 84104-3539
Registry dates
- Enumerated
- 2016-06-23
- Last updated
- 2016-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.