Healthcare Provider Details

I. General information

NPI: 1528621752
Provider Name (Legal Business Name): ASHLEE WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 E 5900 S STE 100
MURRAY UT
84107-5422
US

IV. Provider business mailing address

15138 S INVERLEITH CV
BLUFFDALE UT
84065-5805
US

V. Phone/Fax

Practice location:
  • Phone: 385-436-4859
  • Fax: 801-396-2575
Mailing address:
  • Phone: 435-590-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6317730-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: