Colene James, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Magna, UT

NPI 1225869613 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1225869613
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
12078713-3102 (UT)
Practice address
8265 W 2700 S
Magna, UT 84044-1323
Phone
(801) 508-6298
NPI assigned
Aug 8, 2024
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
12078713-3102UTMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 12078713-3102 UT Yes

Addresses

Primary practice location

8265 W 2700 S
Magna, UT 84044-1323

Mailing address

5231 S 4620 W
Salt Lake City, UT 84118-5844
Phone (813) 598-9501

Other names

  • Colene Frederick Former name

Other providers in Magna, UT

All providers in Magna, UT · Psychiatric/Mental Health Registered Nurse in Utah

Sources for this page

Verify at the official NPI Registry.