Healthcare Provider Details

I. General information

NPI: 1225944770
Provider Name (Legal Business Name): MILEY L FELTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 S HIGHLAND DR APT 441
SALT LAKE CITY UT
84106-3210
US

IV. Provider business mailing address

2120 S HIGHLAND DR APT 441
SALT LAKE CITY UT
84106-3210
US

V. Phone/Fax

Practice location:
  • Phone: 435-640-4901
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10577619-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: