Organization · Type 2 NPI
Coastal Community Center Inc
Primary Care Nurse Practitioner · Provo, UT
NPI number
1295690527
Active
Practice location
3650 N University Ave Ste 150
Provo, UT 84604-6636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1295690527
Coastal Community Center Inc's National Provider Identifier is 1295690527, issued on Dec 18, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Provo, UT. The record was last updated on Dec 18, 2025.