Healthcare Provider Details

I. General information

NPI: 1396555074
Provider Name (Legal Business Name): CAMI COPIER MARTIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAMI COPIER

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 E 500 N STE 200
VINEYARD UT
84059-6004
US

IV. Provider business mailing address

806 BIG LEAF CT
PAYSON UT
84651-5104
US

V. Phone/Fax

Practice location:
  • Phone: 801-669-5758
  • Fax: 801-216-8357
Mailing address:
  • Phone: 801-319-5368
  • Fax: 801-216-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number10382650-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: