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NPI Code Detail

MEDICARE: KYLEE PULSIPHER APRN

MEDICARE: KYLEE PULSIPHER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner8685977-4405UT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner8685977-4405UT

General Provider Information

NPI Number : 1528609880
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEE PULSIPHER APRN
Provider Business Mailing Address
First Line : 933 E RIPARIAN DR
Second Line :
City : DRAPER
State : UT
Zip : 84020-8544
Country : US
Telephone Number : 801-916-3580
Fax Number :
Provider Business Practice Location Address
First Line : 45 W SEGO LILY DR STE 312
Second Line :
City : SANDY
State : UT
Zip : 84070-3643
Country : US
Telephone Number : 801-676-9452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2019
Last Update Date : 08/05/2025

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Directions to “ KYLEE PULSIPHER APRN” Practice Location

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