Healthcare Provider Details

I. General information

NPI: 1396412698
Provider Name (Legal Business Name): MICHAEL AH YOU DNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 S 1040 W
PAYSON UT
84651-4614
US

IV. Provider business mailing address

806 S 1040 W
PAYSON UT
84651-4614
US

V. Phone/Fax

Practice location:
  • Phone: 801-367-3690
  • Fax: 801-980-7728
Mailing address:
  • Phone: 801-367-3690
  • Fax: 801-980-7728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7868046-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: