Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Ann Pack

Individual provider Licensed Practical Nurse · NPI 1760201297

Michelle Ann Pack is a Licensed Practical Nurse in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

117 W 400 S
Salt Lake City, UT 84101-1916
Phone: (801) 428-4257
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 193104-3101 (UT)

Record details

NPI number1760201297
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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