NPI 1124798749

Kelsey Rose Janusch, NPC

Practitioner Family Nurse Practitioner Park City, UT

Practice location

Address: 1784 Uinta Way Unit E2, Park City, UT 84098-7685
Phone: (435) 604-0160
Mailing address: 2222 Tremper CT, Park City, UT 84060-1241

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 8391784-4405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1124798749
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2021
Record last updated: 15 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.