Individual
KELLY WOSNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1533 N MAIN ST, SPANISH FORK, UT 84660-1005
(801) 894-1124
(801) 894-1150
Mailing address
1533 N MAIN ST, SPANISH FORK, UT 84660-1005
(801) 894-1124
(801) 894-1150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
327710-4405
UT
Other
Enumeration date
08/13/2006
Last updated
03/09/2011
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