Individual
TRACI NAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
361 E 1200 S, OREM, UT 84058-6904
(801) 224-3014
Mailing address
361 E 1200 S STE 201, OREM, UT 84058-6904
(801) 224-3014
(801) 224-4914
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
291500-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
291500-4405
UT
Other
Enumeration date
12/29/2015
Last updated
12/02/2022
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