IndividualActive
Mickel Sampson
NPI 1366313876 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Washington, UT
Provider details
- NPI number
- 1366313876
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 13982725-3102 (UT)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 13982725-3102 (UT)
Nursing Service Providers
Practice location
3611 S Camino Real
Washington, UT 84780-8396
Phone: (435) 900-7455
Approximate (ZIP-level) locationGet directions
Mailing address
3611 S Camino Real
Washington, UT 84780-8396
Registry dates
- Enumerated
- 2025-09-16
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.