Individual
SAMANTHA CATLYN KEIRSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
1131 N 1300 W, SALT LAKE CITY, UT 84116-3638
(484) 824-3766
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
10527516-4405
UT
Other
Enumeration date
01/22/2024
Last updated
07/17/2024
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