Kurtis Hinderman, NP-C

Individual provider Active NPI Family Nurse Practitioner · Morgan, UT

NPI 1518400720 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1518400720
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
6349207-4405 (UT)
Practice address
5226 Frontier Dr Ste 500
Morgan, UT 84050-9734
Phone
(801) 268-4999
Fax
(801) 261-3339
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6349207-4405UTMDFamily Nurse Practitioner
6439207-4405UTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6439207-4405 UT
Family Nurse Practitioner 363LF0000X 6349207-4405 UT Yes

Addresses

Primary practice location

5226 Frontier Dr Ste 500
Morgan, UT 84050-9734

Mailing address

5226 Frontier Dr
Ste 500
Morgan, UT 84050-9734
Phone (801) 268-4999

Other practice location 1

10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070-4156
Phone (801) 268-4999

Other providers in Morgan, UT

All providers in Morgan, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.