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Search › Utah › 363LA2100X

Mikka Pendergrass, AGACNP

NPI 1649846304 · on the registry since 2021

Practice

Address
1950 Circle Of Hope Dr
Salt Lake City, UT 84112
Phone
(801) 581-2436
Organisation at this address
University Of Utah
University Of Utah
University Of Utah
University Of Utah
University Of Utah Adult Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
126

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah