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Individual

MELANIE NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7236676-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP134447
TX

Other

Enumeration date
07/13/2017
Last updated
01/28/2025
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