Provider Demographics
NPI:1295431385
Name:DAVIS-BARTLETT, HAYLEY (FNP)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:DAVIS-BARTLETT
Suffix:
Gender:F
Credentials:FNP
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 9
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:UT
Mailing Address - Zip Code:84713-0009
Mailing Address - Country:US
Mailing Address - Phone:703-576-7223
Mailing Address - Fax:
Practice Address - Street 1:865 E 1800 N
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:UT
Practice Address - Zip Code:84713-8471
Practice Address - Country:US
Practice Address - Phone:703-576-7223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT357033-8900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily