Individual
MICHELLE RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1790 NORTH STATE STREET, OREM, UT 84057
(888) 224-8250
Mailing address
1162 MEADOW SAGE CIRCLE, SALEM, UT 84653
(801) 228-8866
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9379189-4408
UT
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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