Individual
KATIE GRACE RURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
892 E 1430 S, SALEM, UT 84653-5316
(801) 592-3912
Mailing address
892 E 1430 S, SALEM, UT 84653-5316
(801) 592-3912
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9422109
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
8919064-4405
UT
Other
Enumeration date
09/12/2016
Last updated
05/05/2026
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