Individual provider · Type 1 NPI
Michael Charles Desjardins, MSN, APRN
Psychiatric/Mental Health Nurse Practitioner · Draper, UT
NPI number
1801924766
Active
Practice location
668 E 12225 S Ste 203
Draper, UT 84020-8385
Fax (801) 572-8144
Mailing address
PO Box 1812
Draper, UT 84020-1812
Other practice locations
- 5689 S Redwood Rd Unit 30, Taylorsville, UT 84123-5499 · (801) 268-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 377701-4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 377701-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801924766
Michael Charles Desjardins, MSN, APRN's National Provider Identifier is 1801924766, issued on Mar 1, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Draper, UT. The record was last updated on Sep 17, 2020.