Healthcare Provider Details

I. General information

NPI: 1518872423
Provider Name (Legal Business Name): RENEWED WOMENS HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 N 1200 W UNIT 2034
LAYTON UT
84041-5716
US

IV. Provider business mailing address

1706 N 1200 W UNIT 2034
LAYTON UT
84041-5716
US

V. Phone/Fax

Practice location:
  • Phone: 801-876-5166
  • Fax: 801-931-6226
Mailing address:
  • Phone: 801-876-5166
  • Fax: 801-931-6226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANDA CLEVELAND
Title or Position: PHYSICIAN
Credential: MD
Phone: 801-876-5166