Individual
AMANDA CATHARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
50 N MEDICAL DR, SURGICAL ICU, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 3C127, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7410114-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
7410114-4405
UT
Other
Enumeration date
07/18/2016
Last updated
11/11/2021
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