NPI 1235741042 · live from the CMS NPI Registry
Kristi Kay Anderson, FNP-C
Nurse Practitioner, Family in Provo, UT. National Provider Identifier 1235741042, active.
NPI record
| NPI | 1235741042 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1055 N 500 W Bldg A, Provo, UT 84604 |
| Practice phone | 801-812-5033 |
| Mailing address | 1055 N 500 W, Provo, UT 84604 |
| Enumerated | August 21, 2020 |
| Last updated | December 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 8197729-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.