Individual
DAKOTA SUMNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 363-9414
Mailing address
1179 E 1700 S, SALT LAKE CITY, UT 84105-3521
(256) 283-5960
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13867491-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
10011110
OR
Other
Enumeration date
07/21/2023
Last updated
08/08/2024
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