Individual provider · Type 1 NPI
Kenzlee Wooden
Adult Health Nurse Practitioner · Bountiful, UT
NPI number
1043851116
Active
Practice location
845 S Main St Ste A7
Bountiful, UT 84010-6482
Mailing address
5671 S 650 E
Washington Terrace, UT 84405-1201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9158154-8900 (UT) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1043851116
Kenzlee Wooden's National Provider Identifier is 1043851116, issued on Sep 30, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bountiful, UT. The record was last updated on Sep 30, 2019.