Individual
KAITLYN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 215-0400
(435) 215-0401
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8439349-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8439349-4405
UT
Other
Enumeration date
04/24/2023
Last updated
07/18/2023
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