IndividualActive
Donna Kicin, AGPCNP-BC
NPI 1245032432 · Gerontology Nurse Practitioner · West Jordan, UT
Provider details
- NPI number
- 1245032432
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10496682-4405 (UT)
Practice location
1755 W 8760 S
West Jordan, UT 84088-9397
Phone: (385) 267-3951
Fax: (385) 304-4749
Mailing address
1755 W 8760 S
West Jordan, UT 84088-9397
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.