Individual
KATRINA POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
617 EAST RRIVERSIDE DR, STE 301, ST. GEORGE, UT 84790
(435) 216-7000
(435) 216-7001
Mailing address
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790-8722
(435) 216-7000
(435) 216-7001
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
835835
NV
363LF0000X
Family Nurse Practitioner
Primary
70226834405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2020
Last updated
03/30/2023
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