Stefanie K Anderson, APRN PMHNP-BC FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gunnison, UT
NPI 1225523673 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1225523673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5631885-4405 (UT)
- Practice address
- 74 S Main St
Gunnison, UT 84634-7706 - Phone
- (801) 753-8038
- NPI assigned
- Jun 28, 2018
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5631885-4405 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5631885-4405 | UT | Yes |
Addresses
Primary practice location
74 S Main St
Gunnison, UT 84634-7706
Mailing address
5976 W Kidd Cabin Cir
Herriman, UT 84096-7465
Phone (801) 560-1853
Other practice location 1
5976 W Kidd Cabin Cir
Herriman, UT 84096-7465
Phone (801) 560-1853
Other practice location 2
12176 S 1000 E Ste 12
Draper, UT 84020-3221
Phone (801) 753-8038
Other providers in Gunnison, UT
- Tanner James Allen
- Elizabeth Jane Anderson
- Jace Edward Anderson
- Wade Moyle Anderson
- Arch Health and Wellness LLC
- Arches Family Foot Care LLC
- Auralcare Hearing Centers of America, LLC
- Jed Bruce Bartholomew
All providers in Gunnison, 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 Oct 1, 2024. 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.