Erica Kueneman, APRN
Nurse Practitioner, Acute Care in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1629675673
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1629675673
- Entity type
- Individual (NPI-1)
- Name
- Erica Kueneman
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2020
- Certification date
- Jun 21, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 9120925-4405 | UT | Yes |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-585-9242
Mailing address
218 1/2 N Canyon RdSalt Lake City, UT 84103-2554
Phone 801-834-2933
Other practice locations
82 S 1100 E Ste 403
Salt Lake City, UT 84102-1892
Salt Lake City, UT 84102-1892
Phone 801-384-4730
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