Slim & Trim Medical Online
Organization Active NPI Nurse Practitioner · Mendon, UT
NPI 1326735549 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1326735549
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- SLIM & TRIM MEDICAL ONLINE
- Practice address
- 2400 S Cobble Ter
Mendon, UT 84325-9756 - Phone
- (435) 554-8637
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Cija Hauver, NP
- Title
- Provider
- Phone
- (435) 554-8637
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2400 S Cobble Ter
Mendon, UT 84325-9756
Mailing address
PO Box 308
Mendon, UT 84325-0308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202204361NP-PP | Other | OR | BOARD OF NURSING |
| 66272 | Other | ID | BOARD OF NURSING |
| 12369693-4405 | Other | UT | DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
Other providers in Mendon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.