# WREN HOLLOW MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245826981
- **Authorized official:** KRISTA GRAY DNP-FNP (OWNER)
- **Authorized official phone:** (801) 389-3702

## Contact information

- **Practice address:** 10644 S JORDAN GTWY, SOUTH JORDAN, UT 84095-4036
- **Practice address phone:** (801) 389-3702
- **Mailing address:** 1191 N 1050 E, AMERICAN FORK, UT 84003-3247
- **Mailing address phone:** (801) 855-7237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 03/15/2022