Organization
TRUE NORTH PROVIDER SERVICES LLC
Active
Organization
TRUE NORTH PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WALLACE (EXECUTIVE DIRECTOR)
(801) 628-1452
Entity
Organization
Contact information
Practice address
2200 S STATE ST STE 200, SOUTH SALT LAKE, UT 84115-2724
(801) 922-4790
(801) 922-4790
Mailing address
2200 S STATE ST STE 200, SOUTH SALT LAKE, UT 84115-2724
(801) 922-4790
(801) 922-4790
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
02/13/2026
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