Individual
MRS. KRISTIN KAY BRADBURY-KRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4183
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 662-4183
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
327855-4405
UT
364SN0000X
Neonatal Clinical Nurse Specialist
327855-4405
UT
Other
Enumeration date
01/10/2012
Last updated
05/05/2026
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