Individual provider · Type 1 NPI
Kamille Thayne, NP
Nurse Practitioner · Riverton, UT
Practice location
12391 S 4000 W
Riverton, UT 84096-7012
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Other practice locations
- 3741 W 12600 S, Riverton, UT 84065-7215 · (801) 285-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 9421907-3102 (UT) |
| Nurse Practitioner Primary | 363L00000X | 9421907-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1457100745
Kamille Thayne, NP's National Provider Identifier is 1457100745, issued on May 17, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverton, UT. The record was last updated on Aug 6, 2026.