Provider Demographics
NPI:1659059533
Name:BEAUTIFUL BY DESIGN
Entity Type:Organization
Organization Name:BEAUTIFUL BY DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:DEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:801-216-4183
Mailing Address - Street 1:66 S 360 E
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2590
Mailing Address - Country:US
Mailing Address - Phone:801-216-4183
Mailing Address - Fax:
Practice Address - Street 1:66 S 360 E
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2590
Practice Address - Country:US
Practice Address - Phone:801-216-4183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty