| NPI | 1992569701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHYENNE MUHLESTEIN Office Manager 801-970-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-07-16 |