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Search › Utah › Psychiatric/Mental Health Nurse Practitioner

Susan Niebaum, PMHNP-BC

NPI 1861165839 · on the registry since 2021 · sole proprietor

Practice

Address
408 E Kelsey View Ln
South Salt Lake, UT 84115
Phone
(406) 212-2177

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
163WP0807X
Licence states on file
UT, MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-03

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