Organization
NP COMPANY LLC
Active
Organization
NP COMPANY LLC
Active
Other names
EVOLVE ADDICTION MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI GREENWOOD FNP - BC (OWNER)
(801) 266-2000
Entity
Organization
Contact information
Practice address
5280 S COMMERCE DR STE E190, MURRAY, UT 84107-5321
(801) 266-2000
(877) 896-8171
Mailing address
5280 S COMMERCE DR STE E190, MURRAY, UT 84107-5321
(801) 266-2000
(877) 896-8171
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7346558-4405
DEPT. OF PROFESSIONAL LICENSING
UT
01
—
7346558-8900
DEPT. OF PROFESSIONAL LICENSING
UT
Enumeration date
02/18/2014
Last updated
09/12/2024
Update your record
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