IndividualActive
Kaden Wilson
NPI 1902656093 · Family Nurse Practitioner · Perry, UT
Provider details
- NPI number
- 1902656093
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11203356-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
652 W 2150 S
Perry, UT 84302-4379
Phone: (385) 238-0789
Approximate (ZIP-level) locationGet directions
Mailing address
652 W 2150 S
Perry, UT 84302-4379
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.