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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES KIP DEWEESE, APRN

Active Sole Proprietor

Nurse Practitioner · SALT LAKE CITY, UT

Registration Details

NPI Number
1063506889
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.549951909319 yrs)
Last Updated
Oct 20, 2021
License
206077-4405 (UT)
Sole Proprietor
Yes

Practice Information

Address
82 S 1100 E
SUITE 204
SALT LAKE CITY, UT, 841021686
Browse UT providers · Browse ZIP 84102
Phone
8013504602
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in SALT LAKE CITY, UT

Name Credential NPI
BEVERLY A KRENSKY FNP, BC 1669471421
MRS. TERRY LEE SCHOENWALD WHCNP 1871587121
LAURIE ELLIS N.P. 1770578254
CYNTHIA PHYLLIS WASEK 1952398737
DR. PENNY KAYE JENSEN FNP-C 1023081452
ANDREA M SCHINDLER A.P.R.N. 1114976537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.