Individual provider · Type 1 NPI

Mariya Nikolaeva

Physician Assistant · Salt Lake City, UT

NPI number 1124675079 Active

Practice location

1685 W 2200 S
Salt Lake City, UT 84119-1456

Call (801) 478-7705 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X12492182-1206 (UT)
Physician Assistant Primary 363A00000X12492182-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124675079

Mariya Nikolaeva's National Provider Identifier is 1124675079, issued on Aug 23, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on May 25, 2022.