Stella Blight, A.P.R.N.
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Salt Lake City, UT
NPI 1124048319 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1124048319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- 2085954405 (UT)
- Practice address
- 500 S. Foothill Blvd
George Wahlen Vamc
Salt Lake City, UT 84109 - Phone
- (801) 582-1565
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2085954405 | UT | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2085954405 | UT | Yes |
Addresses
Primary practice location
500 S. Foothill Blvd
George Wahlen Vamc
Salt Lake City, UT 84109
Mailing address
3333 S. Santa Rosa Dr.
Salt Lake City, UT 84109
Phone (801) 484-4977
Other providers in Salt Lake City, UT
- Terrell K. Blei
- Julie Bleiweiss
- Megan Lin Bletzacker
- Steven Benjamin Bleyl
- Kayla Blickensderfer
- Lizabeth Anne Blike
- Andrew James Bliss
- Catherine Bliss
- Delainee Bliss
- Grace Blissell
All providers in Salt Lake City, UT · Adult Psychiatric/Mental Health Registered Nurse in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.