Healthcare Provider Details

I. General information

NPI: 1821618000
Provider Name (Legal Business Name): TAMI GREAVES HALFORD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 HARRISON BLVD
OGDEN UT
84403-3195
US

IV. Provider business mailing address

1506 W STONE BROOK LN
LAYTON UT
84041-7457
US

V. Phone/Fax

Practice location:
  • Phone: 801-387-4300
  • Fax:
Mailing address:
  • Phone: 801-698-7689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number5638043102
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5635804-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: