Individual
HEATHER KRAMBULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7781852-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7781852-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568097715
—
UT
Enumeration date
03/09/2020
Last updated
08/11/2020
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