Organization
WREN HOLLOW MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA GRAY DNP-FNP (OWNER)
(801) 389-3702
Entity
Organization
Contact information
Practice address
10644 S JORDAN GTWY, SOUTH JORDAN, UT 84095-4036
(801) 389-3702
Mailing address
1191 N 1050 E, AMERICAN FORK, UT 84003-3247
(801) 855-7237
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
03/15/2022
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