Individual provider · Type 1 NPI

Kendra Staheli, DNP, PMHNP-BC

Nurse Practitioner · Provo, UT

NPI number 1861044604 Active

Practice location

395 W Bulldog Blvd Ste 601
Provo, UT 84604-3331

Call (801) 357-7525 Map

Fax (801) 357-7746

Mailing address

395 W Cougar Blvd Ste 601
Provo, UT 84604-3331

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	8632096-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	8632096-8900 (UT)
Nurse Practitioner Primary	363L00000X	8632096-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1861044604

Kendra Staheli, DNP, PMHNP-BC's National Provider Identifier is 1861044604, issued on Jul 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Provo, UT. The record was last updated on Sep 29, 2021.