Individual
AUBREY ANN KRUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
434 W ASCENSION WAY STE 225, SALT LAKE CITY, UT 84123-2790
(801) 716-7008
Mailing address
954 N 620 E, TOOELE, UT 84074-9825
(435) 224-4288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6991194-4405
UT
Other
Enumeration date
06/25/2018
Last updated
10/08/2018
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