Healthcare Provider Details

I. General information

NPI: 1508403197
Provider Name (Legal Business Name): MICHELLE EVA MORHOLT DNP-FNP-C, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6307 W TRAVELER LN
WEST JORDAN UT
84081-3211
US

IV. Provider business mailing address

522 W RIVERSIDE AVE # 10345
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 253-341-1252
  • Fax: 833-929-2536
Mailing address:
  • Phone: 253-341-1252
  • Fax: 833-929-2536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9420130-3102
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61020139
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9420130-4405
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9420130-8900
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: