IndividualActive
Kaitlyn Pelletier, APRN
NPI 1194345603 · Gerontology Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1194345603
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 8382143-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2000 Circle of Hope Dr # 1950
Salt Lake City, UT 84112-5550
Phone: (225) 278-9303
Approximate (ZIP-level) locationGet directions
Mailing address
1926 E Parkridge Dr
Salt Lake City, UT 84121-4857
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.