Healthcare Provider Details

I. General information

NPI: 1023730009
Provider Name (Legal Business Name): NATALIE BEESLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S MARKET ST STE 275
WEST VALLEY CITY UT
84119-3669
US

IV. Provider business mailing address

556 E 700 S
SALT LAKE CITY UT
84102-3352
US

V. Phone/Fax

Practice location:
  • Phone: 801-359-2256
  • Fax:
Mailing address:
  • Phone: 801-610-9578
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14051391-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: