Provider / Organization | NPI | Date Certified |
---|---|---|
MYKALA MIKESELL NELSON | 1548922248 | 2021-10-10 |
Mykala Mikesell Nelson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548922248. Registration indicates Mykala Mikesell Nelson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Mrs. Mykala Mikesell Nelson DNP, FNP-C, BSN, RN |
Practice Office Address | 308 E 4500 S STE 100B MURRAY, UT US |
Practice Office Telephone | 8019003280 |
Mailing Address | 1403 N 2530 W CLINTON, UT 840155797 US |
Business Telephone | 8017260313 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 9520322-4405
UT |
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 9520322-3102
UT |