Individual
KRISTEN ELENA GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
36 S STATE ST STE 2100, SALT LAKE CITY, UT 84111-1472
(801) 442-2840
Mailing address
8TH AVENUE C ST E, SLC, UT 84143-1857
(801) 408-3858
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6849506-4405
UT
Other
Enumeration date
10/29/2018
Last updated
04/10/2020
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