Individual provider · Type 1 NPI

Stacie Kay Mitani, RN

Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI number 1649381476 Active

Practice location

750 North 200 West
Provo, UT 84601

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X1834683102 (UT)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1649381476

Stacie Kay Mitani, RN's National Provider Identifier is 1649381476, issued on Aug 31, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.