IndividualActive
Mandi Vlam, APRN
NPI 1396598975 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1396598975
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 8752008-8900 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
168 N 1950 W Ste 201
Salt Lake City, UT 84116-3007
Phone: (801) 213-2537
Approximate (ZIP-level) locationGet directions
Mailing address
168 N 1950 W Ste 201
Salt Lake City, UT 84116-3007
Registry dates
- Enumerated
- 2024-04-11
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.