Individual
KELSEY ROSE JANUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Mailing address
2222 TREMPER CT, PARK CITY, UT 84060-1241
(415) 497-8823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8391784-4405
UT
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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