Healthcare Provider Details

I. General information

NPI: 1316887508
Provider Name (Legal Business Name): ANDREA REBEKAH PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 W 1000 S
LEHI UT
84043-4821
US

IV. Provider business mailing address

1647 W 1000 S
LEHI UT
84043-4821
US

V. Phone/Fax

Practice location:
  • Phone: 801-636-6183
  • Fax:
Mailing address:
  • Phone: 801-636-6183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: