NPI 1104224815

Samuel R Everett, PAC

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Murray, UT

Practice location

Address: 154 E Myrtle Ave STE 204, Murray, UT 84107-4850
Phone: (801) 369-8989
Fax: (801) 704-9741

Registered specialties (2)

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 9492493-1206 (UT)

Other Clinical Nurse Specialist providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9492493-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1104224815
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2014
Record last updated: 12 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.