Individual
KERI DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1564
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1440A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FN0614458
AANP CERTIFICATION - FNP
ID
Enumeration date
06/26/2014
Last updated
06/26/2014
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