Individual
KRISTIN MICHELE RODGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
(801) 785-5100
(801) 785-4597
Mailing address
10259 S CLARKS HILL DR, SOUTH JORDAN, UT 84009-5742
(435) 313-1561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5965650-4405
UT
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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