Maria Christina Paegle, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI 1124237011 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124237011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4741912-4405 (UT)
- Practice address
- 4659 Brookwood Dr
Salt Lake City, UT 84117-4909 - Phone
- (801) 268-9038
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4741912-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Health Incorporated | Psychiatric/Mental Health | Past | Accepting new patients |
| Valley Mental Health Incorporated | Psychiatric/Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4741912-4405 | UT | Yes |
Addresses
Primary practice location
4659 Brookwood Dr
Salt Lake City, UT 84117-4909
Mailing address
4659 Brookwood Dr
Salt Lake City, UT 84117-4909
Phone (801) 268-9038
Other providers in Salt Lake City, UT
- Sonia Padilla Romero
- Anthony Aaron Padilla
- Jaime J Padilla
- Kristen Lee Padilla
- Tyera Padilla
- Rita Alina Paegle
- Angelo David Paez
- Page Speiser L C S W P C
- Brittany Page
- Caden Page
All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.