Individual provider · Type 1 NPI

Kelly Ann Stace, DNP, APRN, NNP-BC

Critical Care Neonatal Nurse Practitioner · Salt Lake City, UT

NPI number 1053181453 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-1000 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Neonatal Intensive Care Registered Nurse 163WN0002X1015298 (TX)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X13784106-4405 (UT)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1053181453

Kelly Ann Stace, DNP, APRN, NNP-BC's National Provider Identifier is 1053181453, issued on Jan 5, 2024. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 4, 2024.