IndividualActive
Kristina Wieder
NPI 1558046722 · Licensed Practical Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1558046722
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 11377011-3101 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
505 W 100 S Apt 258
Salt Lake City, UT 84101-2129
Phone: (385) 290-2347
Approximate (ZIP-level) locationGet directions
Mailing address
505 W 100 S Apt 258
Salt Lake City, UT 84101-2129
Registry dates
- Enumerated
- 2023-06-16
- Last updated
- 2023-06-16
- Certified
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.