Healthcare Provider Details

I. General information

NPI: 1316811052
Provider Name (Legal Business Name): ADAM HYATT APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 ZION PARK BLVD
SPRINGDALE UT
84767-7799
US

IV. Provider business mailing address

2501 ANASAZI WAY
SPRINGDALE UT
84767-7738
US

V. Phone/Fax

Practice location:
  • Phone: 435-632-3690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6184936-8900
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: