IndividualActive
Autumn Cabaniss, LPN
NPI 1790403343 · Licensed Practical Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1790403343
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12355733-3130 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Phone: (801) 428-4257
Approximate (ZIP-level) locationGet directions
Mailing address
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2022-08-19
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.