Individual
JILL STRATFORD WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, GNP-BC
Contact information
Practice address
50 NORTH MEDICAL DRIVE, UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10, SALT LAKE CITY, UT 84132
(801) 585-5122
(801) 585-2319
Mailing address
30 NORTH 1900 EAST, ROOM 4A100, SALT LAKE CITY, UT 84132
(801) 585-5122
(801) 585-2319
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
279490-4405/APRN
UT
363LG0600X
Gerontology Nurse Practitioner
2794904405
UT
Other
Enumeration date
02/04/2009
Last updated
12/16/2021
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