Individual
KRISTA WILSON PERRY
Active
Individual
KRISTA WILSON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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