Individual provider · Type 1 NPI

Tracey Wei Ly King

Gerontology Nurse Practitioner · Salt Lake City, UT

NPI number 1730872789 Active

Practice location

30 N 1900 E
Salt Lake City, UT 84132-0002

Mailing address

1988 W Sir Timothy Ave
Salt Lake City, UT 84116-1597

Other practice locations

  • 3540 W 8245 S, West Jordan, UT 84088-5119 · (801) 635-8060

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X10383969-4405 (UT)
Gerontology Nurse Practitioner Primary 363LG0600X10383969-4405 (UT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1730872789

Tracey Wei Ly King's National Provider Identifier is 1730872789, issued on May 26, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 12, 2025.