Providential Bba Operating LP
NPI 1376325001ActiveOrganization· Nurse Practitioner· Bountiful, UT
Nurse Practitioner in Bountiful, Utah, registered in NPPES in October 2023. The authorized official on file is Michelle Brown, CFO, Cfo.
Overview
| NPI | 1376325001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2023 |
| Last updated in NPPES | Oct 17, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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