Individual provider · Type 1 NPI
Susan Kelly Niebaum, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · South Salt Lake, UT
NPI number
1861165839
Active
Practice location
408 E Kelsey View Ln
South Salt Lake, UT 84115-4979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12585557-4405 (UT) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 16869 (MT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in South Salt Lake
- Emily Elizabeth Barrows, DNPPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1275212524
- Jennifer Ann Gonzalez, APRN, PMHNPPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1285519686
- Daniel Dobbs Hammond Jr., MSN, RN, ANPPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1518116839
- Armando Wayne Slack, APRNPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1659572949
- Danielle Bennett, DNP, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1831881903
- Tyler Scott Farnsworth, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1881465359
- Jodie Lynn Reiner, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1952265738
- Melissa Radcliffe, APNPPsychiatric/Mental Health Nurse Practitioner South Salt Lake, UT NPI 1992356240
About NPI 1861165839
Susan Kelly Niebaum, PMHNP-BC's National Provider Identifier is 1861165839, issued on Jul 27, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Salt Lake, UT. The record was last updated on Feb 3, 2022.