Healthcare Provider Details

I. General information

NPI: 1326890229
Provider Name (Legal Business Name): LINDSEY MICHELE HARDING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3267 E SUGAR MAPLE DR
ST GEORGE UT
84790-1644
US

IV. Provider business mailing address

3267 E SUGAR MAPLE DR
ST GEORGE UT
84790-1644
US

V. Phone/Fax

Practice location:
  • Phone: 520-858-3544
  • Fax:
Mailing address:
  • Phone: 520-858-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7410464-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: