Healthcare Provider Details

I. General information

NPI: 1588590269
Provider Name (Legal Business Name): BAILEE PITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 S 290 W
AMERICAN FORK UT
84003-4403
US

IV. Provider business mailing address

818 S 290 W
AMERICAN FORK UT
84003-4403
US

V. Phone/Fax

Practice location:
  • Phone: 801-763-0890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number11443763-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: