Individual provider · Type 1 NPI

Autumn Grace Cabaniss, LPN

Licensed Practical Nurse · Salt Lake City, UT

NPI number 1790403343 Active

Practice location

344 E 100 S Ste 301
Salt Lake City, UT 84111-1727

Call (801) 428-4257 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X12355733-3130 (UT)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1790403343

Autumn Grace Cabaniss, LPN's National Provider Identifier is 1790403343, issued on Aug 19, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 19, 2022.