Healthcare Provider Details

I. General information

NPI: 1942180062
Provider Name (Legal Business Name): DIANE RINDLISBACHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13222 TREE SPARROW DR
RIVERTON UT
84096-2879
US

IV. Provider business mailing address

3731 W SOUTH JORDAN PKWY STE 102-429
SOUTH JORDAN UT
84009-5632
US

V. Phone/Fax

Practice location:
  • Phone: 801-923-6678
  • Fax: 801-341-2246
Mailing address:
  • Phone: 801-253-3917
  • Fax: 801-341-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number213743-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2137433102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: