Individual
KAITLYN HAYES PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112-5550
(225) 278-9303
Mailing address
1926 E PARKRIDGE DR, SALT LAKE CITY, UT 84121-4857
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
8382143-4405
UT
Other
Enumeration date
04/24/2020
Last updated
11/11/2021
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