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Organization
WASATCH NP HOUSE CALLS LLC
Active
Organization
WASATCH NP HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN PELLETIER (OWNER)
(801) 252-5209
Entity
Organization
Contact information
Practice address
3907 SILVER SPUR CIR, PARK CITY, UT 84098-4819
(801) 252-5209
Mailing address
50 W BROADWAY STE 333, SALT LAKE CITY, UT 84101-2027
(801) 252-5209
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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