Healthcare Provider Details

I. General information

NPI: 1194170860
Provider Name (Legal Business Name): CHELSA HINCKLEY BRINGHURST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 S 5600 W
PAYSON UT
84651-9738
US

IV. Provider business mailing address

70 W MAIN ST STE 1
AMERICAN FORK UT
84003-2318
US

V. Phone/Fax

Practice location:
  • Phone: 801-420-1761
  • Fax:
Mailing address:
  • Phone: 801-882-2799
  • Fax: 814-357-9011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7537603-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75737603-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: