Individual provider · Type 1 NPI
Amanda Dustin
Psychiatric/Mental Health Nurse Practitioner · Providence, UT
NPI number
1144010315
Active
Practice location
560 W 465 N # 601
Providence, UT 84332-8006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 11770648-3102 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11770648-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144010315
Amanda Dustin's National Provider Identifier is 1144010315, issued on May 9, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Providence, UT. The record was last updated on Jul 22, 2026.