IndividualActive
Justin Nielson
NPI 1689399271 · Psychiatric/Mental Health Nurse Practitioner · Blanding, UT
Provider details
- NPI number
- 1689399271
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 12312699-3102 (UT)
Mailing address
Po Box 130
Montezuma Creek, UT 84534-0130
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.