Individual provider · Type 1 NPI

Mitzi Marie Siebert, NURSE PRACTITIONER

Ambulatory Women's Health Care Registered Nurse · West Valley City, UT

NPI number 1962497768 Active

Practice location

1906 W 3600 S
West Valley City, UT 84119-4715

Fax (801) 973-0379

Mailing address

7317 Marinda Way
Salt Lake City, UT 84121-4420

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101X208935-4405 (UT)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

4 other providers at this address

About NPI 1962497768

Mitzi Marie Siebert, NURSE PRACTITIONER's National Provider Identifier is 1962497768, issued on Sep 18, 2005. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in West Valley City, UT. The record was last updated on Jul 13, 2026.