Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Kip Deweese, APRN

Individual provider Nurse Practitioner · NPI 1063506889

Charles Kip Deweese, APRN is a Nurse Practitioner in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

82 S 1100 E Ste 204
Salt Lake City, UT 84102-1686
Phone: (801) 350-4602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 206077-4405 (UT)

Record details

NPI number1063506889
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

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