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Kendra Staheli, DNP,PMHNP-BC
Nurse Practitioner in Provo, Utah
NPI 1861044604

Kendra Staheli is a Nurse Practitioner based in Provo, UT. Kendra Staheli practices in Provo, UT and has the professional credentials of DNP,PMHNP-BC. The NPI Number for Kendra Staheli is 1861044604 and holds a License No. 8632096-4405 (Utah).

The current practice location address for Kendra Staheli is 395 W Bulldog Blvd Ste 601, Provo, UT and can be reached out via phone at 801-357-7525 and via fax at 801-357-7746.

Location: 395 W Bulldog Blvd Ste 601, Provo, UT, 84604-3331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861044604
Provider Name
Kendra Staheli
Credential
DNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
395 W Bulldog Blvd Ste 601, Provo, UT, 84604-3331
Phone Number
801-357-7525
Fax Number
801-357-7746
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 UT
institution
Provider Business Practice Location Address Details
Address
395 W Bulldog Blvd Ste 601
City
Provo
State
Utah
Zip
84604-3331
Phone Number
801-357-7525
Fax Number
801-357-7746
person
Provider Business Mailing Address Details
Address
395 W Bulldog Blvd Ste 601
City
Provo
State
Utah
Zip
84604-3331
Phone Number
801-357-7525
Fax Number
801-357-7746
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
8632096-8900 (Utah)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8632096-4405 (Utah)
Definition
Definition to come...
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