MEDICARE: IDYLLIC HEALTH & AESTHETICS PLLC

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

General Provider Information

NPI Number	:	1528995289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDYLLIC HEALTH & AESTHETICS PLLC

Provider Business Mailing Address
First Line	:	4776 S ROCKHILL LN
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-4489
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4776 S ROCKHILL LN
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-4489
Country	:	US
Telephone Number	:	801-815-3437
Fax Number	:

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	KEIRA LYN SPENCER
Credential	:	RN, APRN, FNP-C
Telephone Number	:	801-815-3437

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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