Individual
MS. KATHLEEN ANN STILLION-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1856 E 4650 S, SALT LAKE CITY, UT 84117-5102
(801) 819-4919
(801) 274-6129
Mailing address
1856 E 4650 S, SALT LAKE CITY, UT 84117-5102
(801) 819-4919
(801) 274-6129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026014405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236004
ALTIUS
UT
01
—
7648
HEALTHY U
UT
05
—
XXXXXXXXX002
—
UT
01
—
XXXXXXXXXX0601
BLUE CROSS/BLUE SHIELD
—
Enumeration date
03/10/2007
Last updated
12/31/2012
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