Healthcare Provider Details

I. General information

NPI: 1033067673
Provider Name (Legal Business Name): KIRSTEN MINSON RN, DNP STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 N 100 W
MENDON UT
84325-9724
US

IV. Provider business mailing address

258 N 100 W
MENDON UT
84325-9724
US

V. Phone/Fax

Practice location:
  • Phone: 801-427-9563
  • Fax:
Mailing address:
  • Phone: 801-427-9563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number13757370-3101
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: