Individual
MS. SUSANA AUHANGAMEA KINIKINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP, PMHNP-BC
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-3951
Mailing address
678 E VINE ST, SALT LAKE CITY, UT 84107-5546
(016) 181-2138
(801) 507-0360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
219823-4405 / 8900
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
219823-4405
UT
Other
Enumeration date
07/19/2007
Last updated
07/15/2024
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