Individual provider · Type 1 NPI

Aubrey Ann Kruisman

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1922593722 Active

Practice location

434 W Ascension Way Ste 225
Salt Lake City, UT 84123-2790

Mailing address

954 N 620 E
Tooele, UT 84074-9825

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X6991194-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1922593722

Aubrey Ann Kruisman's National Provider Identifier is 1922593722, issued on Jun 25, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 8, 2018.