Individual
KAISLEY NAN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11762 S STATE ST STE 320, DRAPER, UT 84020-7166
(801) 380-3894
Mailing address
11762 S STATE ST STE 320, DRAPER, UT 84020-7166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12324627-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
12324627-4405
UT
Other
Enumeration date
12/16/2024
Last updated
02/09/2025
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