Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Calvillo, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1417743642

Daniel Calvillo, FNP-BC is a Nurse Practitioner in Provo, Utah. Qualified in 2024, 2 years ago. Practices with Canyon Healthcare Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1924 N 1120 W
Provo, UT 84604-1045
Phone: (385) 235-8422
Fax: (801) 723-3106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 433 E State Rd Ste D, American Fork, UT 84003-4478 — (801) 830-7683

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11817183-4405 (UT)

Record details

NPI number1417743642
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address1924 N 1120 W, Provo, UT 84604-1045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Canyon Healthcare Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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