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BALANCE THE BRAIN PROFESSIONAL CORPORATION
NPI 1073270666
Nurse Practitioner - Women's Health in Eden, UT

Active since November 18, 2021
3772 N MOUNTAINOAK DR, EDEN, UT 84310(419) 559-5904 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Balance The Brain Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCE THE BRAIN PROFESSIONAL CORPORATION (NPI 1073270666) is a healthcare organization registered as a women's health in Eden, Utah and active in the NPI registry since November 2021. The organization lists Kelli Kemenah Mauric, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1073270666
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameBALANCE THE BRAIN PROFESSIONAL CORPORATION
Location Address3772 N MOUNTAINOAK DREden, UT 84310
Mailing Address3772 N Mountainoak DrEden, UT 84310 · (419) 559-5904
Phone(419) 559-5904
Organization SubpartNo
Authorized OfficialKelli Kemenah MauricOwner/ President · (419) 559-5904
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 7, 2021
✔ NPI 1073270666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
3772 N MOUNTAINOAK DR, Eden, UT 84310
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Other Identifiers 5

Other363LW0102XOH · Primary Taxonomy
OtherI20180403001591Pecos Enrollment Id
OtherNP-07962OH · Bon Np Licensure
Other363LW0102XUT · Secondary Taxonomy
Other10115460-4405UT · Np Licensure

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI KEMENAH MAURIC WHNP-BC, APRN
Nurse Practitioner (Women's Health)
3772 N MOUNTAINOAK DR
EDEN, UT 84310
Weber County (801) 710-2825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balance The Brain Professional Corporation's NPI number?

The NPI number for Balance The Brain Professional Corporation is 1073270666. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Balance The Brain Professional Corporation located?

Balance The Brain Professional Corporation is located at 3772 N Mountainoak Dr, Eden, UT 84310. The listed phone number is (419) 559-5904.

What is Balance The Brain Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Balance The Brain Professional Corporation was last updated on November 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.