Provider Demographics
NPI:1194170860
Name:BRINGHURST, CHELSA HINCKLEY (NP)
Entity type:Individual
Prefix:
First Name:CHELSA
Middle Name:HINCKLEY
Last Name:BRINGHURST
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2318
Mailing Address - Country:US
Mailing Address - Phone:801-882-2799
Mailing Address - Fax:814-357-9011
Practice Address - Street 1:7515 S 5600 W
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-9738
Practice Address - Country:US
Practice Address - Phone:801-420-1761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7537603-4405363LF0000X
UT75737603-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily