Individual
FAWN N CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
373039-4405
UT
Other
Enumeration date
02/07/2007
Last updated
11/01/2008
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