Organization · NPI-2
Advanced Neuro Healing LLC
Nurse Practitioner, Psych/Mental Health · St. George, UT
NPI number1750162145
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1750162145
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neuro Healing LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 2084P0301X | Psychiatry & Neurology, Brain Injury Medicine | – | – |
Practice location
1490 East Foremaster DriveSuite 250
St. George, UT 84790
Phone 435-351-2220 · Fax 866-887-9694
Mailing address
1490 East Foremaster DriveSuite 250
St. George, UT 84790
Phone 435-429-1207 · Fax 866-887-9694
Authorized official
Caprice Elizabeth Compton
Owner/Director
8019896432
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