Individual
MICHELLE MARY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
48 S 2500 W, STE 240, HURRICANE, UT 84737-3382
(801) 285-4200
(801) 285-4201
Mailing address
48 S 2500 W, STE 240, HURRICANE, UT 84737-3382
(801) 285-4200
(801) 285-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201157-4405
UT
Other
Enumeration date
04/15/2019
Last updated
09/30/2021
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