Healthcare Provider Details

I. General information

NPI: 1811820319
Provider Name (Legal Business Name): LINDSAY MOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 W CENTER ST
OREM UT
84057-4659
US

IV. Provider business mailing address

388 W CENTER ST
OREM UT
84057-4659
US

V. Phone/Fax

Practice location:
  • Phone: 801-960-3131
  • Fax: 800-785-2607
Mailing address:
  • Phone: 801-960-3131
  • Fax: 800-785-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number6432957-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6432957-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: