Individual provider · Type 1 NPI
Amy Deon Nostrom
Nurse Practitioner · Provo, UT
Practice location
395 W Cougar Blvd Ste 503
Provo, UT 84604-3323
Fax (801) 357-7351
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9106992-4405 (UT) |
| Nurse Practitioner Primary | 363L00000X | 9106992-4405 (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 1376465443
Amy Deon Nostrom's National Provider Identifier is 1376465443, issued on Jul 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Provo, UT. The record was last updated on Sep 18, 2026.