IndividualActive
Tracey King
NPI 1730872789 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1730872789
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10383969-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
30 N 1900 E
Salt Lake City, UT 84132-0002
Phone: (801) 581-3495
Approximate (ZIP-level) locationGet directions
Mailing address
1988 W Sir Timothy Ave
Salt Lake City, UT 84116-1597
Additional practice locations (1)
- 3540 W 8245 SWest Jordan, UT 84088-5119Phone: (801) 635-8060
Registry dates
- Enumerated
- 2023-05-26
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.