NPIRadar

Kristine Wisdom, RN Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI
1962961136
Type
Individual (Type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse (Registered Nurse)
Specialty group
Nursing Service Providers
Taxonomy code
163WP0808X
License number
2654843102 (UT)
Sex
Female
Sole proprietor
No
Enumerated
2019-03-18
Last updated
2019-03-18
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
(801) 373-4760

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