Healthcare Provider Details

I. General information

NPI: 1689534570
Provider Name (Legal Business Name): MADISON ROSE DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADISON ROSE BARRICK

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W CENTER ST
OREM UT
84057-5207
US

IV. Provider business mailing address

985 S 2720 E
SPANISH FORK UT
84660-6227
US

V. Phone/Fax

Practice location:
  • Phone: 801-903-5903
  • Fax:
Mailing address:
  • Phone: 435-592-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12292254-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number12292254-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: