Individual
KRISTEN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT 84120-8208
(801) 902-8010
Mailing address
358 S 700 E # 208, SALT LAKE CITY, UT 84102-2161
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
7964749-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7964749-4409
UT
Other
Enumeration date
02/11/2020
Last updated
04/08/2020
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