Provider Demographics
NPI:1497545735
Name:MAIR, HADLIE ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:HADLIE
Middle Name:ANN
Last Name:MAIR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 RIVER BLUFFS DR
Mailing Address - Street 2:
Mailing Address - City:FRANCIS
Mailing Address - State:UT
Mailing Address - Zip Code:84036-5104
Mailing Address - Country:US
Mailing Address - Phone:435-659-0151
Mailing Address - Fax:
Practice Address - Street 1:1784 UINTA WAY
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-7669
Practice Address - Country:US
Practice Address - Phone:016-043-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTF05250130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily