OrganizationActive
Balance the Brain Professional Corporation
NPI 1073270666 · Women's Health Nurse Practitioner · Eden, UT
Provider details
- NPI number
- 1073270666
- Entity type
- Organization
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelli Mauric, Owner/ President(419) 559-5904
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3772 N Mountainoak Dr
Eden, UT 84310
Phone: (419) 559-5904
Approximate (ZIP-level) locationGet directions
Mailing address
3772 N Mountainoak Dr
Eden, UT 84310
Registry dates
- Enumerated
- 2021-11-18
- Last updated
- 2021-11-18
- Certified
- 2021-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.