Healthcare Provider Details

I. General information

NPI: 1487595807
Provider Name (Legal Business Name): KARILYN SHELTON APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W 3200 S # 84321
NIBLEY UT
84321-6875
US

IV. Provider business mailing address

515 W 3200 S # 84321
NIBLEY UT
84321-6875
US

V. Phone/Fax

Practice location:
  • Phone: 801-842-7492
  • Fax:
Mailing address:
  • Phone: 801-842-7492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number326654-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: