FAWN N CRIST

SALT LAKE CITY, UT
NPI1487794418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: UT  373039-4405)
Enumeration Date2007-02-07
Last Update Date2008-11-01
Business Address
FAWN N CRIST APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
Mailing Address
FAWN N CRIST APRN
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6872