Individual provider · Type 1 NPI
Kristina Marie Rae, D.N.P.
Acute Care Nurse Practitioner · Riverton, UT
NPI number
1700289287
Active
Practice location
3723 W 12600 S
Riverton, UT 84065-7295
Fax (801) 507-4398
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice locations
- 5505 S 900 E Ste 240, Murray, UT 84117 · (801) 783-5011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 6611255-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1700289287
Kristina Marie Rae, D.N.P.'s National Provider Identifier is 1700289287, issued on Sep 29, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Riverton, UT. The record was last updated on Jun 25, 2024.