Individual
KIRSTEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 W 12600 S, RIVERTON, UT 84065-7070
(801) 254-4600
Mailing address
2796 E DELSA DR, HOLLADAY, UT 84124-2006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8426076-4405
UT
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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