# MELANIE NIELSEN PMHNP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Minds Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619652310
- **Authorized official:** MELANIE NIELSEN PMHNP (OWNER/PROVIDER)
- **Authorized official phone:** (801) 882-7484

## Contact information

- **Practice address:** 375 N MAIN ST STE 203, KAYSVILLE, UT 84037-1278
- **Practice address phone:** (801) 882-7484
- **Practice address fax:** (801) 797-0275
- **Mailing address:** 375 N MAIN ST STE 203, KAYSVILLE, UT 84037-1278
- **Mailing address phone:** (801) 882-7484
- **Mailing address fax:** (801) 797-0275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2023
- **Last updated:** 01/29/2025