1. Home
  2. Directory
  3. Utah
  4. Eden
  5. Nurse Practitioner
  6. NPI Profile

KELLI KEMENAH MAURIC WHNP-BC, APRN
NPI 1245353416
Nurse Practitioner - Women's Health in Eden, UT

Active since April 10, 2007
3772 N MOUNTAINOAK DR, EDEN, UT 84310(801) 710-2825 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2023, Dec 21, 2017, May 17, 2016 (3 updates tracked since 2016).

About Kelli Kemenah Mauric Whnp-bc, Aprn NPPES

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

KELLI KEMENAH MAURIC WHNP-BC, APRN (NPI 1245353416) is an individual women's health provider in Eden, Utah, licensed in Utah (10115460-4405) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245353416
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELLI KEMENAH MAURICCredential: WHNP-BC, APRN
Location Address3772 N MOUNTAINOAK DREden, UT 84310
Mailing Address3772 N Mountainoak DrEden, UT 84310 · (801) 710-2825
Phone(801) 710-2825
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1245353416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in UT · 10115460-4405✔ Licensed in OH · NP-07962
3772 N MOUNTAINOAK DR, Eden, UT 84310
Open in Google Maps ↗

Other Identifiers 19

Medicaid0827627OH
Other10115460-4405UT · Aprn State Licensure
OtherNP-07962OH · Ohio Board Of Nursing - Certificate Of Authority For Whnp-bc Licensure - Oh
Other000000356173OH · Anthem B/c B/s
Other193200000XUT · Multi-specialty Group Taxonomy Balance The Brain Professional Corporation
Other363LW0102XUT · Nurse Practitioner - Womens Health Taxonomy
OtherMAU1-0427-9585OH · National Certification Corporation -usa Womens Health Nurse Practitioner Whnp-bc
Other1073270666UT · Npi Balance The Brain Professional Corporation
Other193200000XUT · Provider Multi-specialty Group - Secondary Taxonomy Balance The Brain Prof Corp
Other356173OH · Buckeye
OtherI20180403001591Pecos Enrollment Id
OtherR04778OH · Summacare
Other10115460-8900UT · Aprn Controlled Substance Id
Other104279585National Certification Corporation - Whnp-bc (board Certified)
OtherAPP0002758UT · Copic Rrg Via Baxter & Associates Llc Certificate Of Liability Insurance
OtherP01571485OH · Medicare Rr
OtherRN266333OH · National Council Of Nursing State Boards & Licensure Registered Nurses
Other740142OH · Buckeye Medicaid
OtherAPRN.CNP.07962OH · Whnp-bc With Certificate To Prescribe

Other Providers at the Same Location NPPES

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

BALANCE THE BRAIN PROFESSIONAL CORPORATION
Nurse Practitioner (Women's Health)
3772 N MOUNTAINOAK DR
EDEN, UT 84310
Weber County (419) 559-5904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Mauric's NPI number?

The NPI number for Kelli Mauric is 1245353416. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Kelli Mauric located?

Kelli Mauric practices at 3772 N Mountainoak Dr, Eden, UT 84310. The listed phone number is (801) 710-2825.

What is Kelli Mauric's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kelli Mauric was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.