IndividualActive
Kimber Van Wagoner, B.A., R.N.
NPI 1801866512 · Adult Psychiatric/Mental Health Registered Nurse · Salt Lake City, UT
Provider details
- NPI number
- 1801866512
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- B.A., R.N.
- Sex
- Female
- License
- 03081433102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
1020 S Main St
Salt Lake City, UT 84101-3176
Phone: (801) 539-7000
Fax: (801) 539-7050
Approximate (ZIP-level) locationGet directions
Mailing address
1134 E 2700 S
Salt Lake City, UT 84106-2642
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.