IndividualActive
Raeanna Kirk, RN
NPI 1124096417 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Draper, UT
Provider details
- NPI number
- 1124096417
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 3082894-3102 (UT)
Mailing address
11706 S 700 E
Draper, UT 84020-9365
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2010-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.