Individual
DR. KATHERINE RENAE TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
PO BOX 741648, ATLANTA, GA 30374-1648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10395769-4405
UT
363LF0000X
Family Nurse Practitioner
10395769-4405
UT
Other
Enumeration date
02/14/2024
Last updated
03/11/2025
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