MEDICARE: THRIVE AESTHETICS AND WELLNESS

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
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1396675906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE AESTHETICS AND WELLNESS

Provider Business Mailing Address
First Line	:	6405 S 3000 E STE 100
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6975
Country	:	US
Telephone Number	:	801-209-7299
Fax Number	:	801-999-5799

Provider Business Practice Location Address
First Line	:	6405 S 3000 E STE 100
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6975
Country	:	US
Telephone Number	:	801-209-7299
Fax Number	:	801-999-5799

Authorized Official
Title or Position	:	OWNER & MEDICAL DIRECTOR
Name	:	LAUREN GRACE MUIR
Credential	:	NP
Telephone Number	:	801-647-6471

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

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Directions to “THRIVE AESTHETICS AND WELLNESS ” Practice Location

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