Individual
KRISTEN MICHELE HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1833 W 200 N, KAYSVILLE, UT 84037-9722
(801) 390-8233
Mailing address
1833 W 200 N, KAYSVILLE, UT 84037-9722
(801) 390-8233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4916405-4405
UT
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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