Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE G MISHENKO
Active Sole ProprietorSTEPHANIE G MISHENKO is a Military Health Care Provider healthcare provider located in SLC, Utah. NPI 1790396554 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · SLC, UT
Registration Details
- NPI Number
- 1790396554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2020 (6.0348616532281 yrs)
- Last Updated
- Aug 13, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
344E 100SSLC, UT, 84111Browse UT providers · Browse ZIP 84111
- Phone
- 8013223222
- Primary Specialty
-
Military Health Care Provider
171000000X
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.