OrganizationActive
Innovative Medicine LLC
NPI 1881369510 · General Practice Registered Nurse · Sandy, UT
Provider details
- NPI number
- 1881369510
- Entity type
- Organization
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- William Beesley, Partner(385) 449-0565
Specialties & taxonomies
Nursing Service Providers
Practice location
850 E 9400 S Ste 101
Sandy, UT 84094-4114
Phone: (385) 449-0565
Approximate (ZIP-level) locationGet directions
Mailing address
850 E 9400 S Ste 101
Sandy, UT 84094-4114
Registry dates
- Enumerated
- 2021-08-13
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.