Individual provider · Type 1 NPI

Shalese Marie Killian, FNP-C

Family Nurse Practitioner · Roosevelt, UT

NPI number 1346875325 Active

Practice location

250 W 300 N
Roosevelt, UT 84066-2336

Call (435) 722-4691 Map

Mailing address

PO Box 1854
Roosevelt, UT 84066-1854

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Registered Nurse	163WC0200X	9012696-3102 (UT)
Family Nurse Practitioner Primary	363LF0000X	9012696-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1346875325

Shalese Marie Killian, FNP-C's National Provider Identifier is 1346875325, issued on Mar 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roosevelt, UT. The record was last updated on Mar 21, 2020.