RUBY SUE NELSON APRN NPI 1962070615

NPI Information

  • NPI: 1962070615
  • Provider Name: RUBY SUE NELSON, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 95 S 100 E STE 300
    PAYSON, UT
    ZIP 84651
  • Phone: (801) 832-9338

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NPI Details

Ruby Sue Nelson, APRN is a psychiatric/mental health nurse practitioner in Payson, UT with 4 years of experience. Ruby Sue Nelson, APRN NPI is 1962070615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 S 100 E STE 300
PAYSON, UT
ZIP 84651-253
Phone: (801) 832-9338
Fax: (801) 832-0246

The NPI 1962070615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 4/20/2022.

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
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult202451-3102UTAHNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health202451-8900UTAHYes

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: 3/30/2025

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