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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Primary Care Clinic/Center 261QP2300X6227164-4405 (UT)
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Gerontology Nurse Practitioner 363LG0600XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone 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.