Ageless Womens Health Ut LLC
Organization Active NPI Family Medicine Physician · Marriott Slaterville, UT
NPI 1053017004 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1053017004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AGELESS WOMENS HEALTH UT LLC
- Practice address
- 1920 W 250 N Ste 2
Marriott Slaterville, UT 84404-9234 - Phone
- (602) 582-1706
- NPI assigned
- Feb 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Teah Smith
- Title
- Credentialing Manager
- Phone
- (901) 205-3999
Practitioners 6
-
Patricia Dawood Priddy, FNP-C
-
Tiffany Cecilia Adames, FNP-BC
-
Melissa Camille Hanni-Smith, DNP, APRN, FNP-C
National Provider Directory
Locations
1920 W 250 N
Ste 2
Ogden, UT 84404
Phone (385) 289-2088
1920 W 250 N
Ste 24
Ogden, UT 84404
Phone (801) 317-4757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1920 W 250 N Ste 2
Marriott Slaterville, UT 84404-9234
Mailing address
1920 W 250 N Ste 2
Marriott Slaterville, UT 84404-9234
Phone (602) 582-1706
Other practice location 1
1680 W Reunion Ave Ste 5A
South Jordan, UT 84095-4620
Phone (385) 289-2088
Other names
- Ageless Women's Health
Other providers in Marriott Slaterville, UT
- Ageless Men'S Health Holdings, Inc
- Stacy Cazeau
- Victoria Alexandria Flores
- Madison Martinez
- Ashlee Shemenski
- SRS-Weber Valley, LLC
All providers in Marriott Slaterville, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.