Individual provider · Type 1 NPI

Brooke Stephanie Provost, MD

Pediatric Hospice and Palliative Medicine Physician · Salt Lake City, UT

NPI number 1801073812 Active

Practice location

100 N Mario Capecchi Dr Ste 470
Salt Lake City, UT 84113-1103

Mailing address

295 S Chipeta Way
Salt Lake City, UT 84108-1287

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hospice and Palliative Medicine Physician Primary 2080H0002X6804174-1205 (UT)
Pediatrics Physician 208000000X68041741205 (UT)

Pediatric Hospice and Palliative Medicine Physician: A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond…

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About NPI 1801073812

Brooke Stephanie Provost, MD's National Provider Identifier is 1801073812, issued on Jan 22, 2008. The primary taxonomy on file is Pediatric Hospice and Palliative Medicine Physician (2080H0002X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 27, 2026.