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Superior Healthcare of Spanish Fork

NPI 1255692075ActiveOrganization· Nurse Practitioner· Spanish Fork, UT

Nurse Practitioner in Spanish Fork, Utah, registered in NPPES in June 2012. The authorized official on file is Brent Nephi Wall, D.C., President.

Overview

NPI1255692075
StatusActive
Entity typeOrganization
NPI issuedJun 7, 2012
Last updated in NPPESJun 7, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X5129809-4405UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Spanish Fork

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