Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nutcracker

Organization Psychiatry Physician · NPI 1093729048

Nutcracker provides Psychiatry Physician services in Salem, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006

Practice location Address checks out

251 W Hwy 198
Salem, UT 84653-0786
Phone: (801) 423-3267
Fax: (801) 423-3276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 1460511205 (UT)

Record details

NPI number1093729048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phil Washburn — Clinical Adviser · (801) 423-3267
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 786, Salem, UT 84653-0786