Healthcare Provider Details

I. General information

NPI: 1588591549
Provider Name (Legal Business Name): FOCUS FORWARD CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 S FASHION BLVD STE 250
MURRAY UT
84107-6145
US

IV. Provider business mailing address

11013 S EDEN DR
SANDY UT
84094-5439
US

V. Phone/Fax

Practice location:
  • Phone: 801-367-0905
  • Fax: 801-874-1605
Mailing address:
  • Phone: 801-367-0905
  • Fax: 801-874-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE CARTER
Title or Position: OWNER
Credential: DNP
Phone: 801-367-0905