Individual provider · Type 1 NPI

Deja Rayne Nelson, DNP, APRN, FNP-C

Nurse Practitioner · Salt Lake City, UT

NPI number 1053121194 Active

Practice location

10 S 2000 E
Salt Lake City, UT 84112-5880

Mailing address

10234 S Vilas Dr
Sandy, UT 84092-4413

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10385524-4405 (UT)
Registered Nurse 163W00000X10385524-3102 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053121194

Deja Rayne Nelson, DNP, APRN, FNP-C's National Provider Identifier is 1053121194, issued on Jan 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 2, 2026.