| NPI | 1619652310 |
|---|---|
| Doing Business As | FUNCTIONAL MINDS PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MELANIE NIELSEN Owner/Provider 801-882-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-01-29 |