Healthcare Provider Details

I. General information

NPI: 1306560818
Provider Name (Legal Business Name): MINDI A LEMONDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2891 E MALL DR STE 101
SAINT GEORGE UT
84790-2399
US

IV. Provider business mailing address

PO BOX 912042
SAINT GEORGE UT
84791-2042
US

V. Phone/Fax

Practice location:
  • Phone: 435-656-2424
  • Fax: 435-986-7092
Mailing address:
  • Phone: 435-215-0228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8391821-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: