Individual provider · Type 1 NPI
Grace-Mae Cachero Genitiano Kelly
Family Nurse Practitioner · Slc, UT
NPI number
1265916639
Active
Practice location
4460 S Highland Dr
Slc, UT 84124-3543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 6300561-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265916639
Grace-Mae Cachero Genitiano Kelly's National Provider Identifier is 1265916639, issued on Sep 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Slc, UT. The record was last updated on Nov 1, 2021.