Individual
KAITLIN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1525 E 6000 S, SOUTH OGDEN, UT 84405-7144
(801) 337-5800
Mailing address
1525 E 6000 S, SOUTH OGDEN, UT 84405-7144
(801) 337-5800
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10385255-4405
UT
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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