Mariya Nikolaeva
Mariya Nikolaeva is a Psychiatry Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1685 W 2200 SSalt Lake City, UT 84119-1456
Phone: (801) 478-7705
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12492182-1206 (UT) |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 12492182-1206 (UT) |
Record details
| NPI number | 1124675079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2019 |
| Last updated in NPPES | May 25, 2022 |
| Certification date | May 25, 2022 |
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