Healthcare Provider Details

I. General information

NPI: 1851140958
Provider Name (Legal Business Name): TAELOR DAY LEWIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 E 90 N STE 300
AMERICAN FORK UT
84003-2956
US

IV. Provider business mailing address

282 E 1210 S
LEHI UT
84043-5802
US

V. Phone/Fax

Practice location:
  • Phone: 801-756-9635
  • Fax: 801-216-8357
Mailing address:
  • Phone: 435-590-0847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number61300114405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: