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

Rise Pediatrics PLLC

Organization Pediatric Nurse Practitioner · NPI 1235803727

Rise Pediatrics PLLC is a Pediatric Nurse Practitioner in Provo, Utah. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 N University Ave Ste 270
Provo, UT 84601-5648
Phone: (801) 930-0776
Fax: (385) 217-6817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1235803727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Homer — Manager · (801) 930-0776
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address180 N University Ave Ste 270, Provo, UT 84601-5648

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