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

Victor Manuel Tolley, APRN

Individual provider Family Nurse Practitioner · NPI 1720776966

Victor Manuel Tolley, APRN is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

10 S 2000 E
Salt Lake City, UT 84112-5880
Phone: (801) 413-9222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11099798-4405 (UT)

Record details

NPI number1720776966
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESNovember 9, 2024
Certification dateNovember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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