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

Kidist Fisseha

Individual provider Registered Nurse · NPI 1356032262

Kidist Fisseha is a Registered Nurse in Lehi, Utah. Licensed in Texas and Utah. Registered with an NPI since 2023.

Licensed in
TX, UT
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1633 W Innovation Way Fl 4
Lehi, UT 84043-4252
Phone: (855) 726-6363
Fax: (801) 784-1482
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9115682-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 1009883 (TX)

Record details

NPI number1356032262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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