Organization · Type 2 NPI
Renewrx
Psychiatric/Mental Health Nurse Practitioner · Holladay, UT
NPI number
1639021447
Active
Practice location
6065 S Highland Dr Ste 1
Holladay, UT 84121-1381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1639021447
Renewrx's National Provider Identifier is 1639021447, issued on Feb 12, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Holladay, UT. The record was last updated on Feb 12, 2026.