Individual
PAMELA ANN MISICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,MS,APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2746
Mailing address
8047 MOUNTAIN OAKS DR, COTTONWOOD HEIGHTS, UT 84121-5909
(801) 944-9350
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
210847-4405
UT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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