Individual provider · Type 1 NPI

Mikka Michele Pendergrass, AGACNP

Acute Care Nurse Practitioner · Salt Lake City, UT

NPI number 1649846304 Active

Practice location

1950 Circle Of Hope Dr
Salt Lake City, UT 84112-5500

Call (801) 581-2436 Map

Mailing address

461 S 400 E
American Fork, UT 84003-2515

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X86680593102 (UT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1649846304

Mikka Michele Pendergrass, AGACNP's National Provider Identifier is 1649846304, issued on Jun 2, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 11, 2021.