person
Mikka Michele Pendergrass, AGACNP
Acute Care Nurse Practitioner in Salt Lake City, Utah
NPI 1649846304

Mikka Michele Pendergrass is an Acute Care Nurse Practitioner based in American Fork, UT and is specialized in Acute Care. Mikka Michele Pendergrass practices in Salt Lake City, UT and has the professional credentials of AGACNP. The NPI Number for Mikka Michele Pendergrass is 1649846304 and holds a License No. 86680593102 (Utah).

The current practice location address for Mikka Michele Pendergrass is 1950 Circle Of Hope Dr, Salt Lake City, UT and can be reached out via phone at 801-581-2436.

Location: 1950 Circle Of Hope Dr, Salt Lake City, UT, 84003-2515
person
Provider Profile Details
NPI Number
1649846304
Provider Name
Mikka Michele Pendergrass
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
1950 Circle Of Hope Dr, Salt Lake City, UT, 84003-2515
Phone Number
801-581-2436
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1950 Circle Of Hope Dr
City
State
Zip
84112-5500
Phone Number
801-581-2436
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Circle Of Hope Dr
City
State
Zip
84112-5500
Phone Number
801-581-2436
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
86680593102 (Utah)
Definition
Definition to come...
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