Provider Demographics
NPI:1811529233
Name:HESLOP, KATHLEEN CHRISTENSON (FNP-C)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:CHRISTENSON
Last Name:HESLOP
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4421 HARRISON BLVD STE A12
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3174
Practice Address - Country:US
Practice Address - Phone:801-387-3065
Practice Address - Fax:801-387-3030
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT369280-8900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily