Provider Demographics
NPI:1447996509
Name:VIGIL, HEATHER KAY (APRN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAY
Last Name:VIGIL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1568 S 500 W STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-7403
Mailing Address - Country:US
Mailing Address - Phone:801-874-2388
Mailing Address - Fax:801-477-8767
Practice Address - Street 1:1568 S 500 W STE 101
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-7403
Practice Address - Country:US
Practice Address - Phone:801-874-2388
Practice Address - Fax:801-477-8767
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT6226885-3102163WG0000X
UT13978047-4405363LA2200X, 363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health