Individual
DR. ELIZABETH CAMPBELL KASAVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-3414
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8941601-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
8941601-4405
UT
363LP2300X
Primary Care Nurse Practitioner
8941601-4405
UT
Other
Enumeration date
08/17/2021
Last updated
12/20/2021
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