Provider Demographics
NPI:1194138636
Name:TAGGART, HILLARY LOWE (APRN)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:LOWE
Last Name:TAGGART
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 1:1149 S BONNEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84108-2051
Mailing Address - Country:US
Mailing Address - Phone:801-541-6493
Mailing Address - Fax:
Practice Address - Street 1:2290 E 4500 S STE 210
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-4497
Practice Address - Country:US
Practice Address - Phone:801-516-8884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5367522-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily