Kroegel, Nathan

Kroegel, Nathan is an individual health care provider with primary practice located at 13552 S 110 W Ste 204 , Draper UT 84020-2403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kroegel, Nathan can be contacted via phone (801) 432-0883.

Contact Information

Primary practice address
13552 S 110 W Ste 204 Draper UT 84020-2403
Phone: (801) 432-0883
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN001847 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12052515-4405 Utah

Profile Details

NPI number 1811237514
LBN Legal business name Kroegel, Nathan
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Mar 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811237514 NPPES
Nevada MEDICAID 1811237514

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