Individual
SHEENALI PATEL KANSAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
11193 S REDWOOD RD STE 102N, SOUTH JORDAN, UT 84095-8208
(385) 438-3255
(358) 900-1234
Mailing address
11193 S REDWOOD RD STE 102N, SOUTH JORDAN, UT 84095-8208
(385) 438-3255
(358) 900-1234
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114273864405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
114273868900
UT
Other
Enumeration date
07/08/2021
Last updated
12/29/2022
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