Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 5547863-4405 | UT |
NPI | 1033410394 |
---|---|
Provider Name | Ms. Kirsti Rinne |
First Address | Orem, UT 84057 |
Second Address | Salt Lake City, UT 84102-3478 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2010 |
Last Update Date | 16/11/2021 |