IndividualActive
Mitzi Siebert, NURSE PRACTITIONER
NPI 1962497768 · Ambulatory Women's Health Care Registered Nurse · West Valley City, UT
Provider details
- NPI number
- 1962497768
- Entity type
- Individual
- Primary specialty
- Ambulatory Women's Health Care Registered NurseNursing Service Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- License
- 208935-4405 (UT)
Practice location
1906 W 3600 S
West Valley City, UT 84119-4715
Phone: (801) 973-9675
Fax: (801) 973-0379
Mailing address
7317 Marinda Way
Salt Lake City, UT 84121-4420
Registry dates
- Enumerated
- 2005-09-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.