Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY MILLS LAKE, NP
ActiveSTACEY MILLS LAKE, NP is a Primary Care Nurse Practitioner healthcare provider located in HOLLADAY, Utah. NPI 1154003473 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · HOLLADAY, UT
Registration Details
- NPI Number
- 1154003473
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2023 (3.01632462022 yrs)
- Last Updated
- Jan 22, 2025
- Licenses
-
5641317-4405 (UT)5641317-4405 (UT)5641317-4405 (UT)
Practice Information
- Address
-
999 E MURRAY HOLLADAY RD STE 207HOLLADAY, UT, 841175093Browse UT providers · Browse ZIP 84117
- Phone
- 8012682584
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
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.