Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN KELLY NIEBAUM, PMHNP-BC
Active Sole ProprietorSUSAN KELLY NIEBAUM, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SOUTH SALT LAKE, Utah. NPI 1861165839 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SOUTH SALT LAKE, UT
Registration Details
- NPI Number
- 1861165839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2021 (5.0062118590306 yrs)
- Last Updated
- Feb 3, 2022
- Licenses
-
12585557-4405 (UT)16869 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 E KELSEY VIEW LNSOUTH SALT LAKE, UT, 841154979Browse UT providers · Browse ZIP 84115
- Phone
- 4062122177
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse
Other Psychiatric/Mental Health Nurse Practitioner Providers in SOUTH SALT LAKE, UT
| Name | Credential | NPI |
|---|---|---|
| ARMANDO WAYNE SLACK | APRN | 1659572949 |
| DANIEL DOBBS HAMMOND JR. | MSN, RN, ANP | 1518116839 |
| MELISSA RADCLIFFE | APNP | 1992356240 |
| DANIELLE BENNETT | DNP, APRN, PMHNP-BC | 1831881903 |
| DR. EMILY ELIZABETH BARROWS | DNP | 1275212524 |
| MARY DANIELLE KUYKENDALL | PMHNP, APRN | 1609556596 |
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.