Healthcare Provider Details

I. General information

NPI: 1114002151
Provider Name (Legal Business Name): ANNA M DAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 SO 200 W
BLANDING UT
84511
US

IV. Provider business mailing address

5606 INDIAN ROCK RD
SALT LAKE CITY UT
84117-7822
US

V. Phone/Fax

Practice location:
  • Phone: 435-678-3601
  • Fax: 435-678-3610
Mailing address:
  • Phone: 801-232-5266
  • Fax: 435-678-3610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3382654405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: