OrganizationActive
Physician Home Care LLC
NPI 1265805089 · Gerontology Nurse Practitioner · Murray, UT
Provider details
- NPI number
- 1265805089
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Deborah Peters, Member(801) 716-7800
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5292 S College Dr
Ste 304
Murray, UT 84123-2958
Phone: (801) 716-7800
Approximate (ZIP-level) locationGet directions
Mailing address
5292 S College Dr
Murray, UT 84123-2958
Registry dates
- Enumerated
- 2015-11-02
- Last updated
- 2015-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.