Healthcare Provider Details

I. General information

NPI: 1972394450
Provider Name (Legal Business Name): AUBREY LOUISE TAYLOR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 S GENEVA RD STE 141
OREM UT
84058-6076
US

IV. Provider business mailing address

1872 N SEGO LILLY DR
SARATOGA SPRINGS UT
84045-5494
US

V. Phone/Fax

Practice location:
  • Phone: 801-854-5168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number14294996-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: