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

Superior Healthcare of Spanish Fork

Organization Nurse Practitioner · NPI 1255692075

Superior Healthcare of Spanish Fork is a Nurse Practitioner in Spanish Fork, Utah. Licensed in Utah. Registered with an NPI since 2012.

Licensed in
UT
In the registry since
2012

Practice location Address checks out

750 N Main St
Spanish Fork, UT 84660-1147
Phone: (801) 798-2515
Fax: (801) 798-2510
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5129809-4405 (UT)

Record details

NPI number1255692075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Wall — President · (801) 798-2515
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012
Mailing address750 N Main St, Spanish Fork, UT 84660-1147

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