OrganizationActive
Body Renaissance LLC
NPI 1417828971 · Family Nurse Practitioner · Payson, UT
Provider details
- NPI number
- 1417828971
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Karl Stemmler, Credentialing Director
Practice location
86 S Main St
Payson, UT 84651-2223
Phone: (385) 501-1999
Fax: (801) 206-3338
Mailing address
742 N 350 E
Genola, UT 84655-8326
Registry dates
- Enumerated
- 2025-09-16
- Last updated
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.