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

MR. KRAIG LYNN PACKER, NPC

Active

Adult Health Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1518959535
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2005 (20.690149963422 yrs)
Last Updated
Sep 9, 2021
Licenses
261539-4405 (UT)
115014 (CO)
261539-4405 (UT)

Practice Information

Address
3339 CHEROKEE LN
PROVO, UT, 846044866
Browse UT providers · Browse ZIP 84604
Phone
8018030877
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Additional Specialty
Nurse Practitioner

Other Adult Health Nurse Practitioner Providers in PROVO, UT

Name Credential NPI
MARIA ELENA BLACK APRN, MSN 1932355740
MR. DARCY T TROTTER APRN-BC 1215244967
JOAN M COLLETT NP 1164703328
AMBER ELEXIS MARSH FNP-C 1023575172
STEPHANIE ELLIS MSN 1942958673
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.