Healthcare Provider Details

I. General information

NPI: 1124504915
Provider Name (Legal Business Name): HEATHER MARIE DANGERFIELD DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 N STATE ST
OREM UT
84057-2025
US

IV. Provider business mailing address

2934 W 8750 S
WEST JORDAN UT
84088-9607
US

V. Phone/Fax

Practice location:
  • Phone: 801-224-8255
  • Fax:
Mailing address:
  • Phone: 801-541-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8311599-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8311599-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: