Individual
KRISTINE GEBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 S ARAPEEN DR, SALT LAKE CITY, UT 84108-1267
(801) 581-7246
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8891112-4408
UT
Other
Enumeration date
06/22/2023
Last updated
03/04/2024
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