MR. MICHAEL CHARLES DESJARDINS MSN APRN NPI 1801924766

NPI Information

NPI: 1801924766
Provider Name: MR. MICHAEL CHARLES DESJARDINS, MSN, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
668 E 12225 S STE 203
DRAPER, UT
ZIP 84020
Phone: (801) 572-8255
Get Directions

MR. Michael Charles Desjardins, MSN, APRN is a psychiatric/mental health nurse practitioner in Draper, UT. MR. Michael Charles Desjardins, MSN, APRN NPI is 1801924766. 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:

668 E 12225 S STE 203
DRAPER, UT
ZIP 84020-385
Phone: (801) 572-8255
Fax: (801) 572-8144

The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/17/2020.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	377701-4405	UTAH	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	377701-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3777014408	OTHER	UTAH	LICENSE

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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