IndividualActive
Amanda Dustin
NPI 1144010315 · Psychiatric/Mental Health Nurse Practitioner · Providence, UT
Provider details
- NPI number
- 1144010315
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11770648-3102 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
560 W 465 N # 601
Providence, UT 84332-8006
Phone: (435) 554-8719
Approximate (ZIP-level) locationGet directions
Mailing address
560 W 465 N # 601
Providence, UT 84332-8006
Registry dates
- Enumerated
- 2025-05-09
- Last updated
- 2025-10-04
- Certified
- 2025-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.