Individual provider · Type 1 NPI
Matthew Kanenwisher, RN
General Practice Registered Nurse · American Fork, UT
NPI number
1104232834
Active
Practice location
464 N 680 W
American Fork, UT 84003-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 8274851-3102 (UT) |
General Practice Registered Nurse: Definition to come...
About NPI 1104232834
Matthew Kanenwisher, RN's National Provider Identifier is 1104232834, issued on Jul 2, 2014. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in American Fork, UT. The record was last updated on Feb 10, 2020.