| Ms Kimber Tracy Van Wagoner, BA, RN | |
|
1020 S Main St, Salt Lake City, UT 84101-3176 | |
| (801) 539-7000 | |
| (801) 539-7050 |
| Full Name | Ms Kimber Tracy Van Wagoner |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
| Location | 1020 S Main St, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801866512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 03081433102 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimber Tracy Van Wagoner, BA, RN 1134 E 2700 S, D 26, Salt Lake City, UT 84106-2642 Ph: (801) 486-4104 | Ms Kimber Tracy Van Wagoner, BA, RN 1020 S Main St, Salt Lake City, UT 84101-3176 Ph: (801) 539-7000 |
Susan Elizabeth Hawkins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Ms. Eliza Dansie Parkin, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 2218 S Dallin St, Salt Lake City, UT 84109 Phone: 801-673-7088 | |
Crystal Marshall, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr, Salt Lake City, UT 84124 Phone: 888-949-4864 | |
Marina Torres, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr, Salt Lake City, UT 84124 Phone: 888-949-4864 | |
Ms. Sharon A Korhel, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 1105 W 1000 N, Salt Lake City, UT 84116 Phone: 801-408-8626 Fax: 801-364-2436 | |
Kimberly Randolph, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7138 | |
Kelsey Dietrich, MSN, FNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 324 E 10th Ave Ste 200, Salt Lake City, UT 84103 Phone: 801-408-7660 |