Individual provider · Type 1 NPI

Heidi Hafen, NP

Nurse Practitioner · Murray, UT

NPI number 1124901095 Active

Practice location

5121 S Cottonwood St Ste 810
Murray, UT 84107-5701

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7427705-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124901095

Heidi Hafen, NP's National Provider Identifier is 1124901095, issued on Jul 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Murray, UT. The record was last updated on Nov 25, 2025.