Individual
KRISTY KAY HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7414
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 687-6421
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
6205048-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
6205048-4405
UT
Other
Enumeration date
03/01/2022
Last updated
06/09/2022
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