Healthcare Provider Details

I. General information

NPI: 1528998630
Provider Name (Legal Business Name): HEATHER A SEARLE-CUMMINGS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 S PIONEER PKWY
WEST VALLEY UT
84120-2000
US

IV. Provider business mailing address

7152 W RED HAWK DR
HIGHLAND UT
84003-4706
US

V. Phone/Fax

Practice location:
  • Phone: 801-964-3865
  • Fax:
Mailing address:
  • Phone: 801-874-9356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number8191987-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: