INNOVATION MEDICAL GROUP
NPI 1649975400
Nurse Practitioner - Family in Blanding, UT
Active since April 03, 2023
About Innovation Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATION MEDICAL GROUP (NPI 1649975400) is a healthcare organization registered as a family in Blanding, Utah and active in the NPI registry since April 2023. The organization lists Taylor G Wright, Authorized Official, as its authorized official.
NPPES Registry Identity
NPI1649975400
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTAYLOR G WRIGHT, PC
Location Address46 N MAIN STBlanding, UT 84511-2830
Mailing Address6405 S 3000 E Ste 300Salt Lake City, UT 84121-6977 · (801) 266-3113
Phone(435) 270-0271
Fax(435) 270-0272
Organization SubpartNo
Authorized OfficialTaylor G WrightAuthorized Official · (801) 266-3113
Enumeration DateApril 3, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1649975400 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
46 N MAIN ST, Blanding, UT 84511
Other Names 1
Doing Business AsInnovation Medical Group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649975400, enumerated as an "organization" on April 03, 2023.
The provider is located at 46 N MAIN ST BLANDING, UT 84511 and the phone number is (435) 270-0271.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
