Provider Demographics
NPI:1821274655
Name:WAYMENT, NADYA P (MD)
Entity Type:Individual
Prefix:
First Name:NADYA
Middle Name:P
Last Name:WAYMENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-0337
Mailing Address - Country:US
Mailing Address - Phone:801-773-4840
Mailing Address - Fax:801-525-8151
Practice Address - Street 1:5405 S 500 E
Practice Address - Street 2:STE. 100
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7428
Practice Address - Country:US
Practice Address - Phone:801-475-7966
Practice Address - Fax:801-475-7967
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ81057207Q00000X
UT4831321-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1356588008Medicaid
AZ81057OtherTRAINING PERMIT
AZ81057OtherTRAINING PERMIT
UT1356588008Medicaid