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Contact Information

KIRSTEN A BROUGH, FNP
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-4700
 Fax: 801-662-4707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIRSTEN A BROUGH · (Female)

NPI Number 1699342220
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/10/2021
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 8198998-3102
  • UT License # 8198998-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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