Healthcare Provider Details

I. General information

NPI: 1174430276
Provider Name (Legal Business Name): CARDON MARIE SCHIESS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 S 200 E
AMERICAN FORK UT
84003-2413
US

IV. Provider business mailing address

143 S 200 E
AMERICAN FORK UT
84003-2413
US

V. Phone/Fax

Practice location:
  • Phone: 385-219-5551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF08260776
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: