Individual provider · Type 1 NPI
Olivia Moore
Nurse Practitioner · Layton, UT
Practice location
1133 N Main St
Layton, UT 84041-4800
Mailing address
1960 W Jaydin Way Unit 3
West Haven, UT 84401-1151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12094177-4405 (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 1457205403
Olivia Moore's National Provider Identifier is 1457205403, issued on Feb 25, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Layton, UT. The record was last updated on Feb 25, 2026.