Healthcare Provider Details

I. General information

NPI: 1174465793
Provider Name (Legal Business Name): TAELOR HILDEBRAND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAELOR GRIFFITH

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2183 W MAIN ST STE A107
LEHI UT
84043-6761
US

IV. Provider business mailing address

138 E 12300 S UNIT 871
DRAPER UT
84020-7976
US

V. Phone/Fax

Practice location:
  • Phone: 385-203-1215
  • Fax: 801-655-5217
Mailing address:
  • Phone: 801-921-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12104004-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: