Healthcare Provider Details

I. General information

NPI: 1386435063
Provider Name (Legal Business Name): NATALIE JILL HOHMAN FNP-C, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 E 10TH AVE STE 100
SALT LAKE CITY UT
84103-2870
US

IV. Provider business mailing address

4555 GRAMERCY AVE
SOUTH OGDEN UT
84403-3019
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-7500
  • Fax:
Mailing address:
  • Phone: 972-693-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10852587-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: