Healthcare Provider Details

I. General information

NPI: 1487571402
Provider Name (Legal Business Name): INNER VESSEL PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 N MAIN ST
CEDAR CITY UT
84721-5129
US

IV. Provider business mailing address

732 N MAIN ST
CEDAR CITY UT
84721-5129
US

V. Phone/Fax

Practice location:
  • Phone: 435-800-1011
  • Fax: 435-383-5781
Mailing address:
  • Phone: 435-800-1011
  • Fax: 435-383-5781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN C NYBERG
Title or Position: OWNER
Credential: MD
Phone: 435-800-1011