Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL R EVERETT, PA-C
ActiveSAMUEL R EVERETT, PA-C is a Psychiatric/Mental Health, Community CNS healthcare provider located in MURRAY, Utah. NPI 1104224815 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · MURRAY, UT
Registration Details
- NPI Number
- 1104224815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2014 (11.67621898304 yrs)
- Last Updated
- Oct 12, 2023
- Licenses
-
9492493-1206 (UT)9492493-1206 (UT)
Practice Information
- Address
-
154 E MYRTLE AVE STE 204MURRAY, UT, 841074850Browse UT providers · Browse ZIP 84107
- Phone
- 8013698989
- Fax
- 8017049741
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.