Individual provider · Type 1 NPI
Kristen Elena Gooch, NP-C
Acute Care Nurse Practitioner · Salt Lake City, UT
NPI number
1750858643
Active
Practice location
36 S State St Ste 2100
Salt Lake City, UT 84111-1472
Mailing address
8th Avenue C St E
Slc, UT 84143-1857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 6849506-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1750858643
Kristen Elena Gooch, NP-C's National Provider Identifier is 1750858643, issued on Oct 29, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 10, 2020.