Healthcare Provider Details

I. General information

NPI: 1306675145
Provider Name (Legal Business Name): ELIZABETH HARRIET TOONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3741 W 12600 S
RIVERTON UT
84065-7215
US

IV. Provider business mailing address

9905 N LOST MAPLE CT
EAGLE MOUNTAIN UT
84005-5573
US

V. Phone/Fax

Practice location:
  • Phone: 801-285-2700
  • Fax:
Mailing address:
  • Phone: 801-726-3520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9047108-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: