Healthcare Provider Details

I. General information

NPI: 1053215129
Provider Name (Legal Business Name): AUBREY HJORTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 PLAYER CIR
ST GEORGE UT
84790-7647
US

IV. Provider business mailing address

1321 PLAYER CIR
ST GEORGE UT
84790-7647
US

V. Phone/Fax

Practice location:
  • Phone: 435-668-3922
  • Fax:
Mailing address:
  • Phone: 435-668-3922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5400591-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: