Organization
PSYCHSOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC ALFARO APRN (SOLE PROPRIETOR)
(801) 831-8141
Entity
Organization
Contact information
Practice address
44 W BROADWAY APT 2106, SALT LAKE CITY, UT 84101-3223
(801) 831-8141
(866) 382-8761
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58988864405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5898886-4405
LICENSE
UT
Enumeration date
10/20/2010
Last updated
12/06/2021
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