YOUTHFUL RENEWAL
NPI 1962259499
Nurse Practitioner - Women's Health in South Jordan, UT

Q: What is Youthful Renewal's NPI number?

The NPI number for Youthful Renewal is 1962259499. It was assigned to this organization in the NPPES registry on May 2, 2024.

Q: What is Youthful Renewal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Youthful Renewal was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2024

517 W ASPEN PEAK DR, SOUTH JORDAN, UT 84095(435) 531-9268 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Youthful Renewal NPPES

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

YOUTHFUL RENEWAL (NPI 1962259499) is a healthcare organization registered as a women's health in South Jordan, Utah and active in the NPI registry since May 2024. The organization lists Christine Slack, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1962259499

Entity TypeOrganization

Primary Taxonomy363LW0102X

Legal Business NameYOUTHFUL RENEWAL

Location Address517 W ASPEN PEAK DRSouth Jordan, UT 84095-4128

Mailing Address517 W Aspen Peak DrSouth Jordan, UT 84095-4128 · (435) 531-9268

Phone(435) 531-9268

Organization SubpartNo

Authorized OfficialChristine SlackNurse Practitioner · (435) 531-9268

Enumeration DateMay 2, 2024

NPPES CertifiedMay 2, 2024

✔ NPI 1962259499 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

517 W ASPEN PEAK DR, South Jordan, UT 84095

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Youthful Renewal's NPI number?

The NPI number for Youthful Renewal is 1962259499. It was assigned to this organization in the NPPES registry on May 2, 2024.

Where is Youthful Renewal located?

Youthful Renewal is located at 517 W Aspen Peak Dr, South Jordan, UT 84095. The listed phone number is (435) 531-9268.

What is Youthful Renewal'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 Youthful Renewal was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.