MICHAEL SHELEKHOV PMHNP-BC NPI 1235637125

NPI Information

NPI: 1235637125
Provider Name: MICHAEL SHELEKHOV, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
14425 S BITTERBRUSH LN
DRAPER, UT
ZIP 84020
Phone: (801) 576-7000
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Michael Shelekhov, PMHNP-BC is a psychiatric/mental health nurse practitioner in Draper, UT. Michael Shelekhov, PMHNP-BC NPI is 1235637125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14425 S BITTERBRUSH LN
DRAPER, UT
ZIP 84020
Phone: (801) 576-7000

The enumeration date for this NPI number is 1/25/2018 and was last updated on 11/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041375125	ILLINOIS	No
2	163W00000X	Registered Nurse		6381032-3102	UTAH	No
3	363L00000X	Nurse Practitioner		209.017270	ILLINOIS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	6381032-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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