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

MS. Kimber Tracy Van Wagoner, BA, RN

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1801866512

MS. Kimber Tracy Van Wagoner, BA, RN is an Adult Psychiatric/Mental Health Registered Nurse in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1020 S Main St
Salt Lake City, UT 84101-3176
Phone: (801) 539-7000
Fax: (801) 539-7050
Show map & directions

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

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 03081433102 (UT)

Record details

NPI number1801866512
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , RN
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 13, 2026

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