NPI 1902605397 · live from the CMS NPI Registry
Laycie Allred
Nurse Practitioner, Family in Riverton, UT. National Provider Identifier 1902605397, active.
NPI record
| NPI | 1902605397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2332 W Adelaide Dr, Riverton, UT 84065 |
| Practice phone | 801-808-5383 |
| Enumerated | March 10, 2025 |
| Last updated | May 8, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 9029128-4405 (UT) |
| Nurse Practitioner, Family | 363LF0000X | 9029128-8900 (UT) |
| Nurse Practitioner, Family primary | 363LF0000X | 9029128-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.