Doctor Name: | KRISTIN ELAINE MESSINGER |
NPI Number: | 1699091926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 6124219-3102 |
Business Practice Address: | 3665 S 8400 W Ste 110 Magna, UT - 840442214 |
Business Phone Number: | 8012509638 |
Business Fax Number: | 8012503204 |
Mailing Address: | 3665 S 8400 W Ste 110, MAGNA |
State: | UT |
Postal Code: | 840442214 |
Phone Number: | 8012509638 |
Fax Number: | 8012503204 |
NPI Enumeration Date: | 04/12/2010 |
NPI Last Update Date: | 04/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6124219-3102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |