Organization · Type 2 NPI
Body Renaissance LLC
Family Nurse Practitioner · Payson, UT
NPI number
1417828971
Active
Practice location
86 S Main St
Payson, UT 84651-2223
Fax (801) 206-3338
Mailing address
742 N 350 E
Genola, UT 84655-8326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Payson
About NPI 1417828971
Body Renaissance LLC's National Provider Identifier is 1417828971, issued on Sep 16, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Payson, UT. The record was last updated on Oct 13, 2025.