Provider Demographics
NPI:1790868727
Name:MABEY, LINDA J (APRN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:MABEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1036
Mailing Address - Street 2:117 W 200 SO
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-1036
Mailing Address - Country:US
Mailing Address - Phone:801-451-4843
Mailing Address - Fax:801-451-2839
Practice Address - Street 1:117 WEST 200 SO
Practice Address - Street 2:DAYBREAK BEHAVIORAL MEDICINE
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-1036
Practice Address - Country:US
Practice Address - Phone:801-451-4843
Practice Address - Fax:801-451-2839
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT215157-4405364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health