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Individual

KIRSTEN ANN BROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
(801) 662-4707
Mailing address
1088 E 255 S, LAYTON, UT 84041-4496
(307) 248-0403

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8198998-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8198998-4405
UT

Other

Enumeration date
06/10/2021
Last updated
05/18/2022
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