Healthcare Provider Details

I. General information

NPI: 1629920368
Provider Name (Legal Business Name): ABBEY HARDING APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S 100 E
PROVO UT
84606-4649
US

IV. Provider business mailing address

315 S 100 E
PROVO UT
84606-4649
US

V. Phone/Fax

Practice location:
  • Phone: 801-851-8554
  • Fax:
Mailing address:
  • Phone: 801-851-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number203537
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: