Individual
EVIE ANNA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-3600
Mailing address
6757 S GLADE CREEK DR, WEST JORDAN, UT 84081-6086
(909) 645-9993
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12419563-4406
UT
Other
Enumeration date
02/23/2023
Last updated
03/20/2026
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