MEDICARE: CAPELLA NAY

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	106H00000X	Marriage & Family Therapist	11562425-3904	UT

General Provider Information

NPI Number	:	1770932683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAPELLA NAY

Provider Business Mailing Address
First Line	:	4626 N 300 W STE 150
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-6077
Country	:	US
Telephone Number	:	435-688-2123
Fax Number	:	801-877-0864

Provider Business Practice Location Address
First Line	:	393 E RIVERSIDE DR STE 3A
Second Line	:
City	:	ST GEORGE
State	:	UT
Zip	:	84790-7127
Country	:	US
Telephone Number	:	702-882-7827
Fax Number	:

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

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	04/21/2021

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Directions to “ CAPELLA NAY ” Practice Location

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