Individual
KRISTA WILSON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
Mailing address
84 N 1050 E, BOUNTIFUL, UT 84010-2944
(801) 867-7914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8324257-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8324257-4405
UT
Other
Enumeration date
04/06/2023
Last updated
01/30/2024
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