Healthcare Provider Details

I. General information

NPI: 1144151069
Provider Name (Legal Business Name): ASHLEY ANNE FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 N MAIN ST STE 203
KAYSVILLE UT
84037-1278
US

IV. Provider business mailing address

375 N MAIN ST STE 203
KAYSVILLE UT
84037-1278
US

V. Phone/Fax

Practice location:
  • Phone: 801-882-7484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number13012281-8900
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: