IndividualActive
Alicia Fawson, APRN, DNP, PMHNP-BC
NPI 1003749391 · Psychiatric/Mental Health Nurse Practitioner · Taylorsville, UT
Provider details
- NPI number
- 1003749391
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, DNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 349702-3102 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5770 S 1500 W
Taylorsville, UT 84123-5216
Phone: (385) 478-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2797 W 2050 S
West Haven, UT 84401-2101
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.