Individual
NATHAN KROEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Mailing address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12052515-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN001847
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811237514
—
NV
Enumeration date
02/18/2013
Last updated
03/11/2021
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