Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Vein and Vascular of Northern Utah LLC

Organization Interventional Cardiology Physician · NPI 1700490133

Advanced Vein and Vascular of Northern Utah LLC is an Interventional Cardiology Physician in North Logan, Utah. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1515 N 400 E Ste 106
North Logan, UT 84341-7595
Phone: (385) 388-8003
Fax: (385) 344-4006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 810 S 100 W Ste A, Logan, UT 84321-6093 — (385) 388-8003
  • 810 S 100 W Ste 120, Logan, UT 84321-5845 — (385) 388-8003

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X

Record details

NPI number1700490133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynsey Nielsen — Office Manager · (385) 388-8003
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799