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

Lacey Mae Rivera

Individual provider Family Nurse Practitioner · NPI 1790607497

Lacey Mae Rivera is a Family Nurse Practitioner in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

473 W Aspen Peak Dr
South Jordan, UT 84095-4129
Phone: (801) 694-6979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13002591-4405 (UT)

Record details

NPI number1790607497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address473 W Aspen Peak Dr, South Jordan, UT 84095-4129

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