IndividualActive
Trevor Graves
NPI 1376311480 · Neonatal Nurse Practitioner · Ogden, UT
Provider details
- NPI number
- 1376311480
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11588995-3102 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-4300
Fax: (801) 387-4306
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.