Serra, Mahealani N
Serra, Mahealani N is an individual health care provider with primary practice located at 6013 S Redwood Rd , Taylorsville UT 84123-5220. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Serra, Mahealani N can be contacted via phone (801) 255-5131.Contact Information
Primary practice address
6013 S Redwood Rd
Taylorsville UT 84123-5220
Phone: (801) 255-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 7199054-3102 | Utah |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7199054-4405 | Utah |
Profile Details
| NPI number | 1245629229 |
|---|---|
| LBN Legal business name | Serra, Mahealani N |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2015 |
| Last updated | Jan 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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