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Mr. Kraig Lynn Packer, NPC
Adult Health Nurse Practitioner in Provo, Utah
NPI 1518959535

Kraig Lynn Packer is an Adult Health Nurse Practitioner based in Provo, UT and is specialized in Adult Health. Kraig Lynn Packer practices in Provo, UT and has the professional credentials of NPC. The NPI Number for Kraig Lynn Packer is 1518959535 and holds a License No. 261539-4405 (Utah).

The current practice location address for Kraig Lynn Packer is 3339 Cherokee Ln, Provo, UT and can be reached out via phone at 801-803-0877.

Location: 3339 Cherokee Ln, Provo, UT, 84604-4866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518959535
Provider Name
Kraig Lynn Packer
Credential
NPC
Provider Entity Type
Individual
Gender
Male
Address
3339 Cherokee Ln, Provo, UT, 84604-4866
Phone Number
801-803-0877
Fax Number
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50634879 05 CO
institution
Provider Business Practice Location Address Details
Address
3339 Cherokee Ln
City
Provo
State
Utah
Zip
84604-4866
Phone Number
801-803-0877
Fax Number
person
Provider Business Mailing Address Details
Address
3339 Cherokee Ln
City
Provo
State
Utah
Zip
84604-4866
Phone Number
801-803-0877
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
115014 (Colorado)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
261539-4405 (Utah)
Definition
Definition to come...
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