Individual provider · Type 1 NPI
Ivie Wittwer
Nurse Practitioner · Orem, UT
Practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
1594 E Blackhawk Dr
Pleasant Grove, UT 84062-3320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12050190-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053234997
Ivie Wittwer's National Provider Identifier is 1053234997, issued on Jul 30, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orem, UT. The record was last updated on Jul 30, 2026.