Provider Demographics
NPI:1699485235
Name:MCINTOSH, HALEY MARLENE (FNP-C)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MARLENE
Last Name:MCINTOSH
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 1:251 W 1525 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5058
Mailing Address - Country:US
Mailing Address - Phone:801-698-4662
Mailing Address - Fax:
Practice Address - Street 1:7430 S CREEK RD STE 104
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6160
Practice Address - Country:US
Practice Address - Phone:801-717-5644
Practice Address - Fax:801-797-0176
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10806101-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily