Katherine Stayner
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1972492437
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1972492437
- Entity type
- Individual (NPI-1)
- Name
- Katherine Stayner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Phone 406-552-2162
Mailing address
2715 Pinnacle PlMissoula, MT 59808-8673
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