Individual
TRACEY WEI LY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-3495
Mailing address
1988 W SIR TIMOTHY AVE, SALT LAKE CITY, UT 84116-1597
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10383969-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
10383969-4405
UT
Other
Enumeration date
05/26/2023
Last updated
06/12/2025
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