IndividualActive
Selene Ingraham, APRN
NPI 1780577189 · Family Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1780577189
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8513908-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1055 N 500 W
Ste 201 Bldg C
Provo, UT 84604
Phone: (801) 429-8000
Fax: (801) 429-8150
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604
Additional practice locations (1)
- 221 S 2800 ESpanish Fork, UT 84660-6514Phone: (801) 669-4656
Registry dates
- Enumerated
- 2025-06-03
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.