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NPI Code Detail

MEDICARE: MADISON ROSE DAY

MEDICARE: MADISON ROSE DAY
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
1163W00000XRegistered Nurse12292254-3102UT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner12292254-4405UT

General Provider Information

NPI Number : 1689534570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON ROSE DAY
Provider Business Mailing Address
First Line : 985 S 2720 E
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-6227
Country : US
Telephone Number : 435-592-5990
Fax Number :
Provider Business Practice Location Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-7850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 01/09/2026

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Directions to “ MADISON ROSE DAY ” Practice Location

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