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

Stephanie G Mishenko

Individual provider Military Health Care Provider · NPI 1790396554

Stephanie G Mishenko is a Military Health Care Provider in Slc, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020
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Practice location Address checks out

344E 100S
Slc, UT 84111
Phone: (801) 322-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X (UT)

Record details

NPI number1790396554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address344e 100s, Slc, UT 84111