NPI 1184481905 · live from the CMS NPI Registry
Kelly Anderson, DNP, APRN-CNP, FNP-C
Nurse Practitioner, Family in Salt Lake City, UT. National Provider Identifier 1184481905, active.
NPI record
| NPI | 1184481905 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1250 E 3900 S Ste 260, Salt Lake City, UT 84124 |
| Practice phone | 801-265-2000 |
| Enumerated | February 28, 2024 |
| Last updated | December 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 10681922-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.