Kelli Kemenah Mauric is a Women's Health Nurse Practitioner based in Eden, UT and is specialized in Women's Health. Kelli Kemenah Mauric practices in Eden, UT and has the professional credentials of WHNP-BC,APRN. The NPI Number for Kelli Kemenah Mauric is 1245353416 and holds a License No. NP-07962 (Utah).
The current practice location address for Kelli Kemenah Mauric is 3772 N Mountainoak Dr, Eden, UT and can be reached out via phone at 801-710-2825.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0827627 | 05 | OH | |
| 10115460-4405 | 01 | UT | APRN STATE LICENSURE |
| NP-07962 | 01 | OH | OHIO BOARD OF NURSING - CERTIFICATE OF AUTHORITY FOR WHNP-BC LICENSURE - OH |
| 000000356173 | 01 | OH | ANTHEM B/C B/S |
| 193200000X | 01 | UT | MULTI-SPECIALTY GROUP TAXONOMY BALANCE THE BRAIN PROFESSIONAL CORPORATION |
| 363LW0102X | 01 | UT | NURSE PRACTITIONER - WOMENS HEALTH TAXONOMY |
| MAU1-0427-9585 | 01 | OH | NATIONAL CERTIFICATION CORPORATION -USA WOMENS HEALTH NURSE PRACTITIONER WHNP-BC |
| 1073270666 | 01 | UT | NPI BALANCE THE BRAIN PROFESSIONAL CORPORATION |
| 193200000X | 01 | UT | PROVIDER MULTI-SPECIALTY GROUP - SECONDARY TAXONOMY BALANCE THE BRAIN PROF CORP |
| 356173 | 01 | OH | BUCKEYE |
| I20180403001591 | 01 | PECOS ENROLLMENT ID | |
| R04778 | 01 | OH | SUMMACARE |
| 10115460-8900 | 01 | UT | APRN CONTROLLED SUBSTANCE ID |
| 104279585 | 01 | NATIONAL CERTIFICATION CORPORATION - WHNP-BC (BOARD CERTIFIED) | |
| APP0002758 | 01 | UT | COPIC RRG VIA BAXTER & ASSOCIATES LLC CERTIFICATE OF LIABILITY INSURANCE |
| P01571485 | 01 | OH | MEDICARE RR |
| RN266333 | 01 | OH | NATIONAL COUNCIL OF NURSING STATE BOARDS & LICENSURE REGISTERED NURSES |
| 740142 | 01 | OH | BUCKEYE MEDICAID |
| APRN.CNP.07962 | 01 | OH | WHNP-BC WITH CERTIFICATE TO PRESCRIBE |
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