NPI 1225523673 · live from the CMS NPI Registry
Stefanie K Anderson, APRN PMHNP-BC FNP-C
Nurse Practitioner, Psych/Mental Health in Gunnison, UT. National Provider Identifier 1225523673, active.
NPI record
| NPI | 1225523673 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 74 S Main St, Gunnison, UT 84634 |
| Practice phone | 801-753-8038 |
| Mailing address | 5976 W Kidd Cabin Cir, Herriman, UT 84096 |
| Enumerated | June 28, 2018 |
| Last updated | October 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 5631885-4405 (UT) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 5631885-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.