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General NPI Number Information
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NPI Number | 1285818898
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Entity Type | Individual
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Provider Name | KIMBERLY ANN GREAVES APRN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1649 W ANTELOPE DR STE 180
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City | LAYTON
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State | UT
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Zip | 84041-1194
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Country | US
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Telephone | 801-719-5958
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Fax | 801-719-5959
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Provider Business Mailing Address
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Address Line | 1649 W ANTELOPE DR STE 180
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City | LAYTON
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State | UT
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Zip | 84041-1194
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Country | US
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Telephone | 801-719-5958
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Fax | 801-719-5959
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4732817-4405
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License Number State | UT
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