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General NPI Number Information
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NPI Number | 1427570118
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Entity Type | Individual
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Provider Name | MELANIE NIELSEN MSN, RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 375 N MAIN ST STE 203
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City | KAYSVILLE
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State | UT
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Zip | 84037-1278
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Country | US
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Telephone | 801-882-7484
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Fax | 801-797-0275
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Provider Business Mailing Address
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Address Line | 375 N MAIN ST STE 203
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City | KAYSVILLE
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State | UT
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Zip | 84037-1278
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Country | US
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Telephone | 801-882-7484
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Fax | 801-797-0275
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP134447
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7236676-4405
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License Number State | UT
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