MEDICARE: ABBEY LIND FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	12064883-4405	UT

General Provider Information

NPI Number	:	1366304107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBEY LIND FNP

Provider Business Mailing Address
First Line	:	1420 W 12600 S STE 201
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 W 12600 S STE 201
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-7084
Country	:	US
Telephone Number	:	801-254-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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