STEPHANIE G MISHENKO
NPI 1790396554
Military Health Care Provider in Slc, UT

Q: What is Stephanie Mishenko's NPI number?

The NPI number for Stephanie Mishenko is 1790396554. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Q: What is Stephanie Mishenko's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Active since August 13, 2020

344E 100S, SLC, UT 84111(801) 322-3222 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie G Mishenko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE G MISHENKO (NPI 1790396554) is an individual military health care provider provider in Slc, Utah and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1790396554

Entity TypeIndividualFemale

Primary Taxonomy171000000X

Provider Legal NameSTEPHANIE G MISHENKO

Location Address344E 100SSlc, UT 84111

Mailing Address344e 100sSlc, UT 84111 · (801) 322-3222

Phone(801) 322-3222

Sole ProprietorYes

Enumeration DateAugust 13, 2020

NPPES CertifiedAugust 13, 2020

✔ NPI 1790396554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

344E 100S, Slc, UT 84111

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Other Identifiers 1

Medicaid17100000XUT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Mishenko's NPI number?

The NPI number for Stephanie Mishenko is 1790396554. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Stephanie Mishenko located?

Stephanie Mishenko practices at 344E 100S, Slc, UT 84111. The listed phone number is (801) 322-3222.

What is Stephanie Mishenko's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Stephanie Mishenko was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.