Physician Assistant
MARIYA NIKOLAEVA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124675079 · enumerated 2019-08-23 · record updated 2022-05-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1685 W 2200 S, SALT LAKE CITY, UT, 84119-1456 (801) 478-7705 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X · License 12492182-1206 UT
- Physician Assistant 363A00000X · Primary · License 12492182-1206 UT
In this directory
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841191456
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.