KAYELYNN VAN WAGENEN APRN
NPI 1215944913
Nurse Practitioner in Salt Lake City, UT

Q: What is Kayelynn Van Wagenen's NPI number?

The NPI number for Kayelynn Van Wagenen is 1215944913. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Kayelynn Van Wagenen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 02, 2006

400 C ST, SALT LAKE CITY, UT 84143(801) 408-5319 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kayelynn Van Wagenen Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYELYNN VAN WAGENEN APRN (NPI 1215944913) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (2125534405) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215944913

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAYELYNN VAN WAGENENCredential: APRN

Location Address400 C STSalt Lake City, UT 84143-1005

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 408-5319

Phone(801) 408-5319

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateOctober 17, 2007

✔ NPI 1215944913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 2125534405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

400 C ST, Salt Lake City, UT 84143

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES F ORME MD

Internal Medicine (Critical Care Medicine)