Healthcare Provider Details

I. General information

NPI: 1134030919
Provider Name (Legal Business Name): SALARA HARMON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S PACIFIC DR STE 102
AMERICAN FORK UT
84003-2196
US

IV. Provider business mailing address

119 S PACIFIC DR STE 102
AMERICAN FORK UT
84003-2196
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-7294
  • Fax:
Mailing address:
  • Phone: 801-477-7294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13199256-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: