Individual
MCKENNA LYNN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
518 E WILSON AVE, SALT LAKE CITY, UT 84105-2912
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
9807590-3102
UT
363L00000X
Nurse Practitioner
Primary
9807590-4405
UT
363LN0000X
Neonatal Nurse Practitioner
9807590-4405
UT
Other
Enumeration date
03/12/2024
Last updated
12/26/2025
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