Healthcare Provider Details

I. General information

NPI: 1750216602
Provider Name (Legal Business Name): ORIGEN HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 RED CLIFFS DR STE 311-105
ST GEORGE UT
84790-8367
US

IV. Provider business mailing address

747 N 2935 W
HURRICANE UT
84737-3524
US

V. Phone/Fax

Practice location:
  • Phone: 435-817-9877
  • Fax: 435-817-9878
Mailing address:
  • Phone: 435-272-7654
  • Fax: 435-817-9878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNGEE DREILING
Title or Position: OWNER/PROVIDER
Credential: APRN FNP-C
Phone: 435-272-7654