Healthcare Provider Details

I. General information

NPI: 1528970266
Provider Name (Legal Business Name): NOEMI GALINDO RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 N CREEK RIDGE DR
WASHINGTON UT
84780-4914
US

IV. Provider business mailing address

406 N CREEK RIDGE DR
WASHINGTON UT
84780-4914
US

V. Phone/Fax

Practice location:
  • Phone: 970-433-8734
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14309466-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: