Individual
MIKYLA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
6896 S GREENFIELD WAY, SALT LAKE CITY, UT 84121-3015
(801) 691-6794
Mailing address
6896 S GREENFIELD WAY, SALT LAKE CITY, UT 84121-3015
(801) 691-6794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8650112-3102
UT
363LF0000X
Family Nurse Practitioner
84448
NM
363LF0000X
Family Nurse Practitioner
Primary
8650112-4405
UT
Other
Enumeration date
07/15/2019
Last updated
09/30/2025
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