Provider Demographics
NPI:1215654827
Name:SMITH, IAN FRASER (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:FRASER
Last Name:SMITH
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 S UTE DR
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655-4660
Mailing Address - Country:US
Mailing Address - Phone:801-420-6303
Mailing Address - Fax:
Practice Address - Street 1:569 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2548
Practice Address - Country:US
Practice Address - Phone:801-420-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11299210-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily