Individual provider · Type 1 NPI
Isabella Lara Mizels, CPNP-PC
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1912608159
Active
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice locations
- 640 E Wilmington Ave Unit A508, Salt Lake City, UT 84106-1004 · (321) 480-6030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 13284667-4405 (UT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 13284667-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1912608159
Isabella Lara Mizels, CPNP-PC's National Provider Identifier is 1912608159, issued on Mar 14, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 3, 2023.