Individual provider · Type 1 NPI
Samantha Michelle Primavera, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Sandy, UT
NPI number
1619794625
Active
Practice location
9280 S Shad Ln
Sandy, UT 84093-2668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 6217771-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619794625
Samantha Michelle Primavera, APRN, PMHNP-BC's National Provider Identifier is 1619794625, issued on Sep 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sandy, UT. The record was last updated on May 14, 2026.