person
Ms. Kimber Tracy Van Wagoner, BA,RN
Adult Psychiatric/Mental Health Registered Nurse in Salt Lake City, Utah
NPI 1801866512

Kimber Tracy Van Wagoner is an Adult Psychiatric/Mental Health Registered Nurse based in Salt Lake City, UT and is specialized in Psychiatric/Mental Health, Adult. Kimber Tracy Van Wagoner practices in Salt Lake City, UT and has the professional credentials of BA,RN. The NPI Number for Kimber Tracy Van Wagoner is 1801866512 and holds a License No. 03081433102 (Utah).

The current practice location address for Kimber Tracy Van Wagoner is 1020 S Main St, Salt Lake City, UT and can be reached out via phone at 801-539-7000 and via fax at 801-539-7050. You can also correspond with Kimber Tracy Van Wagoner through the mailing address at 1134 E 2700 S, SALT LAKE CITY, UT - 84106-2642 (mailing address contact number: 801-486-4104).

Location: 1020 S Main St, Salt Lake City, UT, 84106-2642
person
Provider Profile Details
NPI Number
1801866512
Provider Name
Kimber Tracy Van Wagoner
Credential
BA,RN
Provider Entity Type
Individual
Gender
Female
Address
1020 S Main St, Salt Lake City, UT, 84106-2642
Phone Number
801-539-7000
Fax Number
801-539-7050
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1020 S Main St
City
State
Zip
84101-3176
Phone Number
801-539-7000
Fax Number
801-539-7050
person
Provider Business Mailing Address Details
Address
1134 E 2700 S
City
State
Zip
84106-2642
Phone Number
801-486-4104
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
03081433102 (Utah)
Definition
Definition to come...
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