Healthcare Provider Details

I. General information

NPI: 1255732079
Provider Name (Legal Business Name): KAYLA MAUREEN WRIGHT CNM, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5089 S 900 E STE 201
SALT LAKE CITY UT
84117-5724
US

IV. Provider business mailing address

4901 S LAURA DR
MURRAY UT
84107-5027
US

V. Phone/Fax

Practice location:
  • Phone: 801-288-2229
  • Fax: 801-288-7045
Mailing address:
  • Phone: 208-680-1218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNUR-RN-LIC-75951
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberC-APN.0002479-C-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNUR-RN-LIC-75951
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberC-APN.0002374-C-CNM
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number12377695-4402
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: