Pamela Ann Misicka
Nurse Practitioner - Neonatal (Critical Care)
50 N Medical Dr
Salt Lake City
, Utah 84132-0001
Pamela Ann Misicka
Nurse Practitioner - Neonatal (Critical Care)
50 N Medical Dr
Salt Lake City
, Utah 84132-0001
(801) 944-9350
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Pamela Ann Misicka
- 8047 Mountain Oaks Dr
- Cottonwood Heights, UT
- Zip : 84121-5909
- Phone : (801) 944-9350
Second Address
- Pamela Ann Misicka
- 50 N Medical Dr
- Salt Lake City, UT
- Zip : 84132-0001
- Phone : (801) 581-2746
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 210847-4405 | UT |
National Provider Identifier
| NPI | 1316061583 |
|---|---|
| Provider Name | Pamela Ann Misicka |
| First Address | Cottonwood Heights, UT 84121-5909 |
| Second Address | Salt Lake City, UT 84132-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.