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Individual

MRS. KATHRYN ANN WALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
4915 E BASELINE RD STE 119, GILBERT, AZ 85234-2969
(480) 832-0480
(480) 832-0490
Mailing address
4915 E BASELINE RD STE 119, GILBERT, AZ 85234-2969
(480) 832-0480
(480) 832-0490

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP3157
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
797740
AZ
Enumeration date
09/29/2008
Last updated
07/27/2020
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