Provider Demographics
NPI:1609612340
Name:NEILL, ASHLEE (FNP-C)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:NEILL
Suffix:
Gender:
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 1:925 S 250 E
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-3106
Mailing Address - Country:US
Mailing Address - Phone:385-206-7095
Mailing Address - Fax:
Practice Address - Street 1:1968 N. 1200 W.
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-614-9030
Practice Address - Fax:801-260-1441
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4995989-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily