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

Intermountain Health Care

Organization Neonatal Nurse Practitioner · NPI 1558691873

Intermountain Health Care is a Neonatal Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010

Practice location Address checks out

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-4100
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 351798-4405 (UT)

Record details

NPI number1558691873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Carbaugh — Advance Practice Registered Nurse · (801) 662-4100
NPI enumeratedJanuary 8, 2010
Last updated in NPPESJanuary 8, 2010
Mailing address100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103

Other providers in Salt Lake City