Healthcare Provider Details

I. General information

NPI: 1184952822
Provider Name (Legal Business Name): CHERYL SCHOLES NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3714 EAST CAMPUS DRIVE S SUITE 101
EAGLE MOUNTAIN UT
84005
US

IV. Provider business mailing address

3714 EAST CAMPUS DRIVE S SUITE 101
EAGLE MOUNTAIN UT
84005
US

V. Phone/Fax

Practice location:
  • Phone: 801-789-7780
  • Fax: 801-789-7700
Mailing address:
  • Phone: 801-789-7780
  • Fax: 801-789-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number220632-8900
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number220632-4405
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberMS2073992
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: