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

Valley Mobile Wound Care PLLC

Organization Nurse Practitioner · NPI 1659182947

Valley Mobile Wound Care PLLC is a Nurse Practitioner in Provo, Utah. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

1288 Devonshire Dr
Provo, UT 84604
Phone: (801) 664-7688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3885 S. Valvista Dr., Gilbert, AZ 85297 — (801) 664-7688

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Community Health Nurse Practitioner Taxonomy 363LC1500X
Family Nurse Practitioner Taxonomy 363LF0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1659182947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brady Ewing — Owner · (845) 543-5211
NPI enumeratedJanuary 15, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address1288 Devonshire Dr., Provo, UT 84604

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