Healthcare Provider Details

I. General information

NPI: 1528903788
Provider Name (Legal Business Name): TRENT MORGAN STOCKWELL RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2941 N 1250 W
LEHI UT
84043-4863
US

IV. Provider business mailing address

2941 N 1250 W
LEHI UT
84043-4863
US

V. Phone/Fax

Practice location:
  • Phone: 801-602-4864
  • Fax:
Mailing address:
  • Phone: 801-602-4864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10958842-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: