True North Provider Services LLC
True North Provider Services LLC is a Gerontology Nurse Practitioner in South Salt Lake, Utah. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2200 S State St Ste 200South Salt Lake, UT 84115-2724
Phone: (801) 922-4790
Fax: (801) 922-4790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X |
|---|
Record details
| NPI number | 1619834132 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Wallace — Executive Director · (801) 628-1452 |
| NPI enumerated | January 7, 2026 |
| Last updated in NPPES | February 13, 2026 |
| Certification date | February 13, 2026 |
| Mailing address | 2200 S State St Ste 200, South Salt Lake, UT 84115-2724 |