Individual
KATIE YANGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4535 S 5600 W, WEST VALLEY, UT 84120-4639
(801) 676-4405
Mailing address
4602 S RUSSELL ST, HOLLADAY, UT 84117-4549
(801) 803-9323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8677108-4405
UT
363LF0000X
Family Nurse Practitioner
8677108-8900
UT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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