Individual provider · Type 1 NPI

Annamichelle Kay Pack, PA-C

Physician Assistant · Salt Lake City, UT

NPI number 1619790672 Active

Practice location

50 N Medical Dr # LEVEL1
Salt Lake City, UT 84132-0001

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14164525-1206 (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 1619790672

Annamichelle Kay Pack, PA-C's National Provider Identifier is 1619790672, issued on Nov 6, 2024. 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 Dec 9, 2025.