AUBREY ANN KRUISMAN NPI 1922593722

NPI Information

NPI: 1922593722
Provider Name: AUBREY ANN KRUISMAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AMAZING MEDICAL ASSOCIATES INC

PECOS Registration: Yes

Address:
434 W ASCENSION WAY STE 225
SALT LAKE CITY, UT
ZIP 84123
Phone: (801) 716-7008
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Aubrey Ann Kruisman is a family nurse practitioner in Salt Lake City, UT with 6 years of experience. Aubrey Ann Kruisman NPI is 1922593722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

434 W ASCENSION WAY STE 225
SALT LAKE CITY, UT
ZIP 84123-790
Phone: (801) 716-7008

The NPI 1922593722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 10/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	6991194-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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