Individual
ARMANDO WAYNE SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3780 S WEST TEMPLE STE 201, SOUTH SALT LAKE, UT 84115-4464
(385) 444-5800
Mailing address
2193 RIFLEMAN DR, FARMINGTON, UT 84025-2792
(801) 557-4257
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
2943543102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2943544405
UT
Other
Enumeration date
05/31/2007
Last updated
09/29/2025
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