Individual
KRISTIE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 E 3900 S STE 4A, SALT LAKE CITY, UT 84124-1326
(801) 261-8507
(801) 261-8511
Mailing address
PO BOX 741648, ATLANTA, GA 30374-1648
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7663755-4405
UT
Other
Enumeration date
08/29/2017
Last updated
01/04/2023
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