Organization · Type 2 NPI

Traverse Mountain Joint Pain and Spine Specialist LLC

Nurse Practitioner · Lehi, UT

NPI number 1982539052 Active

Practice location

3051 W Maple Loop Dr Ste 125
Lehi, UT 84048-5620

Mailing address

1463 N 950 W
Lehi, UT 84043-1099

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1982539052

Traverse Mountain Joint Pain and Spine Specialist LLC's National Provider Identifier is 1982539052, issued on Jun 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lehi, UT. The record was last updated on Jun 17, 2026.