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Individual

MRS. CHRISTINE KERR RENFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, C-FNP

Contact information

Practice address
5326 W 11000 N, HIGHLAND, UT 84003-9544
(801) 763-9786
Mailing address
5326 W 11000 N, HIGHLAND, UT 84003-9544
(801) 763-9786

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209109-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209109-4405
STATE LICENSE
UT
Enumeration date
07/06/2006
Last updated
12/23/2022
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