Individual provider · Type 1 NPI
Susana Auhangamea Kinikini, C-FNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Murray, UT
NPI number
1578763389
Active
Practice location
5121 S Cottonwood St
Murray, UT 84107-5701
Mailing address
678 E Vine St
Salt Lake City, UT 84107-5546
Other practice locations
- 678 E Vine St Ste 11, Murray, UT 84107-5500 · (801) 618-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 219823-4405 / 8900 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 219823-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1578763389
Susana Auhangamea Kinikini, C-FNP, PMHNP-BC's National Provider Identifier is 1578763389, issued on Jul 19, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Murray, UT. The record was last updated on Jul 15, 2024.