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

Brent Lee Thompson, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1063863876

Brent Lee Thompson, NURSEPRACTITIONER is a Primary Care Nurse Practitioner in Slc, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

441 S Redwood Rd
Slc, UT 84104-3539
Phone: (801) 973-2588
Fax: (801) 973-6985
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 8021622-8900 (UT)

Record details

NPI number1063863876
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016