Individual
MAHEALANI N SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7199054-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7199054-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2015
Last updated
01/17/2023
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