Individual
IRINA A KRASNOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3726 S 500 E UNIT A, SALT LAKE CITY, UT 84106-1130
(801) 831-5726
Mailing address
3726 S 500 E UNIT A, SALT LAKE CITY, UT 84106-1130
(801) 831-5726
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9811459-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9811459-8900
UT
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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