Provider Demographics
NPI:1316811052
Name:HYATT, ADAM (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:HYATT
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 ANASAZI WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84767-7738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:932 ZION PARK BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:UT
Practice Address - Zip Code:84767-7799
Practice Address - Country:US
Practice Address - Phone:435-632-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6184936-8900261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center