Individual
KATIE RENEE DEBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-5943
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-5943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103857273102
UT
363LF0000X
Family Nurse Practitioner
Primary
10385727-4405
UT
Other
Enumeration date
06/08/2021
Last updated
12/03/2025
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