=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154970770
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTA J WERLINGER FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/06/2019
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 355 N MAIN ST
-----------------------------------------------------
City | KANAB
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84741-3260
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 435-644-4100
-----------------------------------------------------
Fax | 435-644-3366
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1055 N 500 W ATT CREDENTIALING
-----------------------------------------------------
City | PROVO
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84604-3305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-354-8225
-----------------------------------------------------
Fax | 801-418-0941
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 9554170-4405
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------