Organization
NP 360 CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KICIN AGPCNP-BC (OWNER)
(801) 930-0333
Entity
Organization
Contact information
Practice address
1755 W 8760 S, WEST JORDAN, UT 84088-9397
(801) 930-0333
(385) 304-4749
Mailing address
1755 W 8760 S, WEST JORDAN, UT 84088-9397
(801) 930-0333
(385) 304-4749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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