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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKKA MICHELE PENDERGRASS, AGACNP

Active

MIKKA MICHELE PENDERGRASS, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in SALT LAKE CITY, Utah. NPI 1649846304 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · SALT LAKE CITY, UT

Registration Details

NPI Number
1649846304
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2021 (5.1576839730778 yrs)
Last Updated
Nov 11, 2021
License
86680593102 (UT)

Practice Information

Address
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT, 841125500
Browse UT providers · Browse ZIP 84112
Phone
8015812436
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. SUSAN JEAN QUAAL PH.D., APRN 1639105927
MR. JON BRIAN WHEILER ACNP 1134156565
SANDRA C PETERS APRN 1851311005
KATY YUCHEN FU APRN 1679663272
JULIE L. OBRIEN APRN 1669551131
MS. LORENE S JOHNSON A.P.R.N. 1649333055
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.