Organization · Type 2 NPI
Life Tree PLLC
Psychiatric/Mental Health Nurse Practitioner · Salem, UT
NPI number
1982135265
Active
Practice location
45 W 100 S
Salem, UT 84653-9459
Fax (801) 504-6073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | 6227164-4405 (UT) |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1982135265
Life Tree PLLC's National Provider Identifier is 1982135265, issued on Mar 27, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salem, UT. The record was last updated on Sep 1, 2026.