Healthcare Provider Details

I. General information

NPI: 1356901003
Provider Name (Legal Business Name): CASSIE KUHN DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2019
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 N MEDICAL DR
SALT LAKE CITY UT
84112-1103
US

IV. Provider business mailing address

175 N MEDICAL DR
SALT LAKE CITY UT
84112-1103
US

V. Phone/Fax

Practice location:
  • Phone: 801-585-7575
  • Fax: 801-585-9179
Mailing address:
  • Phone: 801-585-7575
  • Fax: 801-585-9179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7798787-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7798787-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: