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NPI Code Detail

MEDICARE: WILLIAM TYLER TROY

MEDICARE: WILLIAM TYLER TROY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner12042650-4405UT
2163WE0003XEmergency Registered Nurse12042650-3102UT

General Provider Information

NPI Number : 1326933953
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM TYLER TROY
Provider Business Mailing Address
First Line : 8693 S HIDDEN OAKS CIR
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-6126
Country : US
Telephone Number : 317-774-4713
Fax Number :
Provider Business Practice Location Address
First Line : 5121 S COTTONWOOD ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-5701
Country : US
Telephone Number : 801-507-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 02/12/2026

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