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

Amy Deon Nostrom

Individual provider Family Nurse Practitioner · NPI 1376465443

Amy Deon Nostrom is a Family Nurse Practitioner in Provo, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

395 W Cougar Blvd Ste 503
Provo, UT 84604-3323
Phone: (801) 787-4077
Fax: (801) 787-4077
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9106992-4405 (UT)

Record details

NPI number1376465443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address330 E 350 N, Salem, UT 84653-9492

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