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Individual

KRISTINA TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1234
Mailing address
2970 S 2700 E, SALT LAKE CITY, UT 84109-2049

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
7872552-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7872552-4405
UT

Other

Enumeration date
09/13/2019
Last updated
09/27/2024
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