Individual provider · Type 1 NPI

Marsha K. Medford, APRN

Nurse Practitioner · Provo, UT

NPI number 1215902309 Active

Practice location

1165 E 300 N, Wasatch Mental Health, Youth Outpatient
Provo, UT 84606-3539

Fax (801) 356-2703

Mailing address

259 S 500 E
Provo, UT 84606-4731

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5376965-4405 (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 1215902309

Marsha K. Medford, APRN's National Provider Identifier is 1215902309, issued on Feb 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Provo, UT. The record was last updated on Jul 13, 2026.