Susan T. Miller, A.P.R.N.,B.C.

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kearns, UT

NPI 1528045457 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1528045457
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
1953014405 (UT)
Practice address
3809 W 6200 S
Kearns, UT 84118-3725
Phone
(801) 963-4213
Fax
(801) 963-4299
NPI assigned
Dec 30, 2005
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

LicenseStateTypeSpecialty
1953014405UTMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1953014405 UT Yes

Addresses

Primary practice location

3809 W 6200 S
Kearns, UT 84118-3725

Mailing address

2528 Dearborn St
Salt Lake City, UT 84106-3512
Phone (801) 466-5978

Other identifiers

IdentifierTypeStateIssuer
104502OtherUTU005
107002817101OtherUTU006
262112OtherUTU002

Other providers in Kearns, UT

All providers in Kearns, UT · Psychiatric/Mental Health Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.