Individual
KIRA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
1140 E 3900 S STE 400, SALT LAKE CITY, UT 84124-1269
(801) 268-6811
Mailing address
PO BOX 198546, ATLANTA, GA 30384-8546
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
8459364-4402
UT
Other
Enumeration date
11/04/2015
Last updated
11/30/2020
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