Healthcare Provider Details

I. General information

NPI: 1184538514
Provider Name (Legal Business Name): ALATORRE FAMILY PRACTICE & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 E ERICKSON KNOLL LN
EAGLE MOUNTAIN UT
84005-5170
US

IV. Provider business mailing address

1626 E ERICKSON KNOLL LN
EAGLE MOUNTAIN UT
84005-5170
US

V. Phone/Fax

Practice location:
  • Phone: 801-900-3270
  • Fax: 801-797-0257
Mailing address:
  • Phone: 801-900-3270
  • Fax: 801-797-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH ALATORRE
Title or Position: OWNER/PROVIDER
Credential: FNP-BC
Phone: 801-900-3270