Individual
KAREN M WASKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5323 S WOODROW ST STE 203, MURRAY, UT 84107-5851
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10818561-4405
UT
363L00000X
Nurse Practitioner
SP017639
PA
Other
Enumeration date
07/07/2017
Last updated
01/31/2024
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