Individual
MRS. MYKALA MIKESELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, BSN, RN
Contact information
Practice address
308 E 4500 S STE 100B, MURRAY, UT 84107-4057
(801) 900-3280
Mailing address
1403 N 2530 W, CLINTON, UT 84015-5797
(801) 726-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9520322-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
9520322-4405
UT
Other
Enumeration date
10/10/2021
Last updated
08/01/2022
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