Individual
KIMBERLY KAE WEGGEMANN HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3018 E 3300 S, SALT LAKE CITY, UT 84109-2144
(801) 419-0705
Mailing address
10890 THORNMINT RD, SAN DIEGO, CA 92127-2402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5039306-4405
UT
Other
Enumeration date
08/13/2019
Last updated
05/08/2024
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