Katie Wardenburg, NP
Nurse Practitioner, Family in Tooele, UT. Individual provider (NPI-1).
NPI number1093545808
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1093545808
- Entity type
- Individual (NPI-1)
- Name
- Katie Wardenburg
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11601571-4405 | UT | Yes |
Practice location
2356 N 400 E Ste 202Tooele, UT 84074-3409
Phone 435-843-8380 · Fax 435-843-8382
Mailing address
1144 E Castlecreek DrMurray, UT 84117-7279
Phone 801-634-2842
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All 21 Family Nurse Practitioner providers in Tooele · All 746 providers in Tooele
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