| Mindspace Nursing Inc | |
|
544 S 1020 W American Fork UT 84003-4453 | |
| (951) 992-8162 | |
| Not Available |
| Full Name | Mindspace Nursing Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 544 S 1020 W, American Fork, Utah |
| Authorized Official Name and Position | James Williams (PRESIDENT) |
| Authorized Official Contact | 9519928162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindspace Nursing Inc 19933 Nipoma Ct Riverside CA 92508-3228 Ph: (213) 321-0569 | Mindspace Nursing Inc 544 S 1020 W American Fork UT 84003-4453 Ph: (951) 992-8162 |
| NPI Number | 1043198021 |
|---|---|
| Provider Enumeration Date | 08/26/2025 |
| Last Update Date | 08/26/2025 |
| Certification Date | 08/26/2025 |
| Medicare PECOS PAC ID | 5496231540 |
|---|---|
| Medicare Enrollment ID | O20260108003096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043198021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | James Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356964340 PECOS PAC ID: 6305322454 Enrollment ID: I20260108003160 |
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