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NPI Code Detail

MEDICARE: RED SANDS MENTAL HEALTH PLLC

MEDICARE: RED SANDS MENTAL HEALTH PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1710544697
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED SANDS MENTAL HEALTH PLLC
Provider Business Mailing Address
First Line : 437 S BLUFF ST STE 302
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84770-3591
Country : US
Telephone Number : 435-634-8848
Fax Number : 435-634-8884
Provider Business Practice Location Address
First Line : 437 S BLUFF ST STE 302
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84770-3591
Country : US
Telephone Number : 435-634-8848
Fax Number : 435-634-8884
Authorized Official
Title or Position : BILLER
Name : NATALIE BLAKE
Credential :
Telephone Number : 435-634-8848
Provider Enumeration Date : 05/25/2019
Last Update Date : 04/06/2026

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Directions to “RED SANDS MENTAL HEALTH PLLC ” Practice Location

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